Every finding on record at Atrium Hospice,Inc.

Upon patient record review 1 of 14 (Patient #7) did not have evidence in the patient record that the comprehensive assessment identifies the physical, psychosocial, emotional, and spiritual needs related to the terminal illness that must be addressed in order to promote the hospice patient's well-being, comfort, and dignity throughout the dying process. #7 - Spiritual assessment dated 6/25/24 was blank.

Upon patient record review, 1 of 14 (Patient #3) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including medications and treatments. #3: The skin assessment dated 01/20/24 noted an open wound on right lateral knee not addressed. There is no evidence of a wound care order for this site.

Upon client record review, 2 of 14 (Patient #1,3) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. #1-Wound care ordered on 6/30/24 for stage 3 sacral wound to clean with normal saline, pat dry and apply collagen powder, cover with foam and change daily or when soiled or dislodged for 14 days and then reassess. Wound care ordered for right elbow abrasion to cleanse with normal saline and pat dry, apply foam dressing and change daily. There have been 2 visits made to perform wound care on 7/11/24 and 7/16/24. The order does not specify who should perform wound care in the absence of hospice nurse. #3-Wound care orders dated 04/12/24 for rash under breast for - clean with soap and water, pat dry and apply Nystatin 2Xday for 14 days does not specify who will complete treatment in the absence of hospice staff.