Every finding on record at Ameria Hospice Care, Inc.

Observed in Record Review. the organization failed to involve the patient in making decisions about their care, treatment, or services. During record review for DC#1 and DC#3, the hospice nurse surveyor the patients were not provided the opportunity to sign the notice of non-coverage at least two days before the end of coverage as per noted in the patient handbook. The organization was not currently following this process. This was discussed and reviewed with the Administrator/ Owner.

Observed in Record Review. In 11 of 11 patient records reviewed, the organization failed to plan the patient's care. During record review for HV#1,HV#2, HV#3, RR#1, RR#2, RR#3, RR#4, DC#1, DC#2, DC#3 and DC#4, the hospice nurse surveyor observed no additions to the plan of care goals by the social worker or chaplain who were actively making visits. The SN was the only person adding to the POC. Also noted during record review, items were missing or resolved but still an active problem. For example in HV#2 the patient had a cough but nothing to address the cough on the plan of care. And in HV#1 the goal for skin integrity was to be met by 6/10/22 but was not updated and a goal to prevent skin breakdown was added on 6/15/22 with no target date of completion. In RR#3 SOB was resolved but still an active problem and in RR#4 SOB and weakness were active problems but not addressed on the POC. This was discussed and reviewed with the Administrator/ Owner.