Every finding on record at Care Angels Hospice, Inc

Upon patient record review, 4 of 14 (Patient #1,2,4,8,) 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 #1, No evidence of DME on POC, patient has bed, bedpan and w/c. Patient #2, No evidence of DME on POC , patient has bed and overbed table. Patient #4, DME on POC states walker, no evidence of air mattress, bed, shower chair. Patient #8, DME on POC states walker, no evidence of air mattress, bed, overbed table, shower chair.

Upon patient record review, 1 of 14 (Patient #10) did not have evidence in the patient record that hospice aide assignments and duties are: • Assigned to a specific patient by a registered nurse that is a member of the interdisciplinary group • Written patient care instructions for a hospice aide must be prepared by a Registered Nurse who is responsible for the supervision of a hospice aide as specified under paragraph (h) of 418.76 • There is evidence in the patient record that the plan of care; indicate what tasks are to be done by the Aide and the frequency of these tasks. The use of “PRN” or “per patient choice”, for any task, whether personal care or non-personal care tasks, are not acceptable Patient #10, RN documented to assist with oral meds as per RN instructions. No evidence of instructions noted on aide care plan.

Upon patient record review 3 of 14 (Patient #10,11,13) 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 #10, Care plan instructed aide to assist with meal prep, assist with oral meds as RN instructed, encourage fluids, pajamas/gown, 01/30/24. No evidence of documentation on aide note. Patient #11, Aide completed vitals on 1/12/24 and 12/29/23, no evidence of direction documented on care plan. Patient #13, Aide frequency 1x/week, no evidence of visit notes until 3/1/23.