Every finding on record at Artemis Healthcare

Upon patient record review, 1 of 6 (Patient #3) did not contain evidence that the IDG had ensured that all care and services were provided in accordance with the Plan of Care: Patient #3: The IDG POC included, "SN/Caregiver to to perform G-tube care/feeding. Cleanse G-tube site with soap/water, pat dry, cover with sterile dressing, and secure with tape. Daily. Caregiver to perform on non-SN visit days." SN visits were made on 08/25, 09/03, 09/08, and 09/15/25. There was no documentation that the Hospice nurse had provided such wound care treatment as a part of their visit interventions.

Upon personnel record review, 1 of 12 (Personnel #8) did not contain evidence that an Aide Skills Competency evaluation had been conducted per CMS guidelines. A Skills Competency had been conducted on 08/22/25. However, the following skills/tasks were not evaluated for competency: •Communication Skills, including the ability to read, write, and verbally report clinical information to patients, caregivers, and other Hospice staff. • Observation, reporting, and documentation of patient status and the care or service furnished. (Line item had been left blank). • Maintenance of a clean, safe, and healthy environment. (Line item had been left blank).

Upon patient client record review, 1 of 6 (Patient #2) did not evidence that each patient record contains physician orders. Patient #2: The 09/09/25 SNV documented, "Per MD order, foley catheter requires weekly flushing with Acidic Acid." There was no evidence that the Hospice nurse had transcribed that verbal order into writing, and obtained Physician signature/date.