Every finding on record at Bravo Hospice & Palliative Care

Upon client record review, 8 of 14 (Patient #1,3,4,6,8,10,11,13) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #1, SC visit on 2/25/24 and 5/20/24 completed as telephone visit. No evidence of telephone visit order. Patient #3, SC visit on 2/29/24 and 6/4/24 completed as telephone visit. No evidence of telephone visit order. Patient #4, SC visit on 2/23/24 was completed as telephone visit. No evidence of telephone order. Patient #6, SC visit on 6/1/24 was completed as telephone visit. No evidence of telephone order. MSW was declined. MSW made visit on 5/30/24 with no evidence of order for visit. Patient #8, SC visit on 3/29/24 was completed as telephone visit. No evidence of telephone order. Patient #10, SC visit on 2/21/24 and 5/20/24 completed as telephone visit. No evidence of telephone visit order. Patient #11, SC visit on 9/21/24 completed as telephone visit. No evidence of telephone visit order. Patient #13, SC visit on 10/28/23 completed as telephone visit. No evidence of telephone visit order.

Upon patient record review 4 of 14 (Patient #1, 4, 9, 11) did not have evidence documentation in the patient record that a hospice aide provides services that are: • Ordered by the interdisciplinary group • Included in the plan of care • Permitted to be performed under state law by such hospice aide • Consistent with the hospice aide training Patient #1, On 5/30/24, Aide documented meal prep. No evidence on care plan directing Aide to provide meal prep. O2 @2l/nc PRN directed on care plan. No evidence task was completed as box was left empty. Patient #4, On 5/4/24, Aide documented meal prep. No evidence on care plan directing Aide to provide meal prep. Care plan directions to dress patient. No evidence task was completed as box was left empty. Patient #9, On 5/29/24, No evidence Aide completed fall precaution task as directed on care plan. Patient #11, On 12/3/23, Aide documented meal prep. No evidence on care plan directing Aide to provide meal prep.

Upon patient record review 2 of 14 (Patient #9,10) 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 #9, Supervisory visits completed 5/12/24 and 5/31/24. No evidence supervisory visit was completed in 14 days. Patient #10, Supervisory visits completed 4/29/24 and 5/15/24. No evidence supervisory visit was completed in 14 days.

Upon patient client record review, 1 of 14 (Patient #4) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Electronic signatures are acceptable as long the hospice is following appropriate safeguards to prevent unauthorized access to the patient records. Patient #4, Patient has CHF as primary diagnosis. MSW initial assessment documented patient has HIV as primary diagnosis. No evidence of HIV diagnosis in documented in medical chart.