Every finding on record at B.A.D. Colorado LLC

Upon patient record review, 3 of 6 (Patient #1,2,5) 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: Identified needs without evidence of problems, goals, interventions on the plan of care: bleeding precautions, edema. COS Patient 2: Identified needs without evidence of problems, goals, interventions on the plan of care: weakness, poor appetite, high risk for skin breakdown. COS Patient 5: Identified needs without evidence of problems, goals, interventions on the plan of care: high risk for skin breakdown, anxiety.

Upon patient record review, 1 of 6 (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 equipment and supply needs. Patient 3: DME need not identified on the plan of care: wheelchair.