Every finding on record at Calmed Hospice Care, Inc

Observed in Individual Tracer. In 2 of 8 patient records reviewed, the surveyor observed that the initial bereavement assessment not completed as of survey date. In both records the time period was greater than 30 days. This issue was discussed and confirmed with leadership.

Observed in Record Review. In 2 of 8 patient records reviewed, The surveyor noted that the RN had not made visit to the hospice patient every 15 days to conduct an assessment. The issue was discussed and confirmed with leadership.

Observed in Tracer Activities. In 6 of 8 patient records reviewed, the surveyor observed that the goals had not been measurable or reflective of patient and family goals. For example the surveyor observed in 6/8 records that the goal for pain was to patient comfortable. Other examples of goals had been : Pt needs will be met on a day to day basis as communicated,Altered skin will heal to maximum potential -Patient will be comfortable, Pt/Family/PCG will receive emotional support to adequately cope with illness/death. This issue was discussed and confirmed with organization leader.

Observed in Record Review. In 3 of 8 patient records reviewed, The surveyor observed frequency orders on POC had not been followed. For example on one patient the patients POC frequency for LVN was 2 X week and the LVN only went once the first week and then not at all the next 3 weeks . On an additional 2 records the RN frequency had not been followed. This issue was discussed with EMR open for leadership to confirm.