Every finding on record at American Heritage Hospice, Inc.

Observed in Record Review. In 1 of 13 patient records reviewed, it was noted that there was no evidence of a Registered Nurse comprehensive assessment for the interdisciplinary team completed every 15 days. For example, a review of the medical record for HV#3, revealed no documented evidence that a Registered Nurse comprehensive assessment was completed during week #6 of the 2nd benefit period. This observation was reviewed with the QAPI Nurse.

Observed in Record Review. In 1 of 13 patient records reviewed, it was noted that the organization did not ensure that care, treatment, or services were provided according to the patient's individualized plan of care. For example, during a review of the medical record for RR#7, it was noted that the plan of care included an intervention to change the indwelling foley catheter monthly. A review of nursing visit notes revealed no documented evidence that the indwelling foley catheter was changed during the first 6 weeks of hospice services. This observation was reviewed with the QAPI Nurse.