Every finding on record at Ame Hospice, Inc.

Upon patient record review, 5 of 5(Patient 1-5) did not have evidence in the patient record that the comprehensive assessment takes into consideration the imminence of death. Patient 1-5: No evidence of imminence of death assessment in medical record.

Upon patient record review, 1 of 5 (Patient 4) did not have evidence in the patient record that hospice aide assignments and duties are: • Assigned to a specific patient by a registered nurse that is a member of the interdisciplinary group • Written patient care instructions for a hospice aide must be prepared by a Registered Nurse who is responsible for the supervision of a hospice aide as specified under paragraph (h) of 418.76 • There is evidence in the patient record that the plan of care; indicate what tasks are to be done by the Aide and the frequency of these tasks. The use of “PRN” or “per patient choice”, for any task, whether personal care or non-personal care tasks, are not acceptable Patient 4: Plan of care orders on admission include "HHA 2x a week." No evidence in patient record that the RN completed the written patient care instructions for the aide.

Upon patient record review 1 of 5 (Patient 4) did not have evidence documentation in the patient record that a hospice aide provides services that are: • Ordered by the interdisciplinary group • Included in the plan of care • Permitted to be performed under state law by such hospice aide • Consistent with the hospice aide training Patient 4: Plan of care orders in medical record indicate "HHA 2xa week" were to be provided upon admission on 9/22/22 through revocation on 10/5/22. No evidence of any HHA visits or communication with RN if services were declined are part of the medical record.