Every finding on record at Angel Anastasia Hospice

Upon patient record review, 1 of 5 (Patient #3) did not have evidence in the patient record that the hospice has developed an individualized written plan of care for each patient. The plan of care must reflect patient/family goals and interventions based on the problems identified in the initial, comprehensive, and updated comprehensive assessments. The plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions. Patient #3: Plan of care that includes a goal for “Pt/Family will verbalize understanding of safety measures regarding use of oxygen”, but there was no evidence the patient was on oxygen.