Every finding on record at Bridge Hospice East Bay LLC

Upon patient record review, 2 of 14 (Patient #4, 6) did not have evidence the plan of care must includes all services necessary for the palliation and management of the terminal illness and related conditions, including the following: • A detailed statement of the scope and frequency of services necessary to meet the specific patient and family needs • The IDG demonstrates a proactive approach in developing each patient's plan of care by planning ahead for anticipated patient changes and needs. Decisions should reflect the patient/family preferences rather than be solely a response to a crisis. Patient #4: Admitted 5/23/23. Initial POC: MSW frequency effective 6/1/23 1 PRN. Patient #6: Admitted 6/5/23. Initial POC: MSW__ per month plus 1 prn. (freq blank)

Upon patient record review, 1 of 14 (Patient #6) 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. Patient #6: Initial POC included order for Hospice Nurse to insert/maintain indwelling catheter 14 fr/10cc balloon. May irrigate with 60cc NS as needed. The order is not specific to implications for irrigation and there was no reference regarding if/when or specifically not to change catheter.

Upon patient client record review, 1 of 14 (Patient #7) did not have evidence that each patient record contains: • Signed copies of the notice of patient rights in accordance with 418.52 • Signed election statement in accordance with 418.24 Patient #7: The election statement effective date is blank. Electronic signature date is consistent with date of admission, but space allocated for effective date is blank.