Every finding on record at Angeles Family Hospice Care, Inc

Upon patient record review, 1 of 14 (Patient #1) did not have evidence in the patient record that the comprehensive assessment includes a bereavement component which includes the needs of the patient's family and other individuals focusing on the social, spiritual, and cultural factors that may impact their ability to cope with the patient's death. Information gathered from the initial bereavement assessment is incorporated into the plan of care and is considered in the bereavement plan of care. Patient #1, No evidence of bereavement assessment within the first 5 days. Patient admitted to hospice on 11/27/23, bereavement assessment completed on 1/27/24.

Upon patient record review, 10 of 14 (Patient #1,2,3,4,5,6,7,8,9,10) 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 #1,2,3,4,5,6,7,8,9,10, No evidence of funeral home documented on initial MSW assessment. No evidence of funeral plans documented on care plan.

Upon client record review, 8 of 14 (Patient #1,3,5,6,7,8,9,10) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #1, MSW frequency every certification, no evidence of MSW visit for the first certification period. Patient #3, MSW frequency every certification, 2 visits the first certification period, no visits the 3rd certification period and 2 visits the 4th certification period. No evidence frequency was followed at every certification period. Patient #5, SN frequency 1x/week, no evidence of SN visit week of 7/28, 8/11, 8/25. MSW frequency every certification period. 2 visits completed first certification period as scheduled visits. Patient #6,7,9,10, MSW frequency every certification, 2 visits completed first certification period. Patient #8, MSW frequency every certification, 2 visits completed first certification period. LVN frequency 2x/week, only 1 visit completed every week, no evidence of 2 visits completed per week.

Upon patient record review, 4 of 14 (Patient #1,6,8,10) 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 #1,6,8,10, No evidence of vital sign parameters documented on aide care plan.