Every finding on record at Aveem, Inc.

Upon patient record review, 4 of 14 (Patient #10, 11, 12, 13) 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 #10, 11, 12, 13 - Agency unable to provide initial bereavement risk assessment completed within 5 days.

Upon patient record review, 1 of 14 (Patient #12) did not have evidence that a Registered Nurse is designated to ensure continuous assessment of the patient and family's needs and to coordinate activities with other members of the interdisciplinary group (IDG). The IDG must work together and is responsible for supervision of the care and service for each patient and family. Patient #12 - On 09/17/2023 agency received call regarding patient hadn't eaten in 2 days - wants to start on pureed diet and discontinue Ensure due to difficulty swallowing - no follow up visit until 09/21/2023.

Upon patient record review, 5 of 14 (Patient #5, 6, 6, 8, 10) 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 equipment and supply needs. Patient #5 - POC dated 08/11/2023 did not contain Hoyer lift. Corrected on site. Patient #6 - POC dated 08/06/2023 did not contain Hoyer lift. Corrected on site. Patient #7 - POC dated 09/09/2023 did not contain Hoyer lift or Foley catheter supplies. Corrected on site. Patient #8 - POC dated 08/25/2023 did not contain air mattress, bed, overbed table walker or diapers. Corrected on site. Patient #10 - POC dated 07/27/2023 did not contain air mattress, bed, overbed table, shower chair or half rails. Corrected on site.

Upon client record review, 1 of 14 (Patient #7) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #7 - POC dated 09/09/2023 SN visit frequency 2wk only made 1 visit week 1.

Upon patient record review 2 of 14 (Patient #12, 13) did not have evidence documentation in the patient record that a Registered Nurse made an on-site visit to the patient's home no less frequently than every 14 days to assess the quality of care and services provided by the hospice aide and to ensure that services ordered by the hospice interdisciplinary group meet the patient's needs. Patient #12 - Aide supervisory visit completed on 09/05/2023 then again on 09/21/2023 - greater than 14 days. Patient #13 - Aide supervisory visit completed on 09/21/2023 then again on 10/11/2023 - greater than 14 days.

Upon client record review, 1 of 14 (Patient #8) did not have evidence that a written hospice plan of care is established and maintained in consultation with SNF/NF or ICF/IID representatives. All hospice care provided is in accordance with this hospice plan of care. Patient #8 - POC dated 08/25/2023 SN visit frequency 2wk only made 1 visit week 1.