Every finding on record at Care Oasis of Southern Nevada LLC

Upon patient record review, 2 of 5 (Patient #2,#4) 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#2: The record indicates that aspiration precautions are listed on the aide plan of care. There is no evidence of goals or interventions related to aspiration precautions on the plan of care. The record indicates the social worker is providing services to this patient and visiting monthly. There is no evidence of problems goals or interventions on the plan of care. This was corrected on site as the plan of care was updated with these items. Patient#4:The record indicates the patient is taking aspirin and Xarelto daily. There is no evidence of bleeding precautions goals or interventions on plan of care.

Upon patient record review, 1 of 5 (Patient #1) 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#1: The record indicates patient requires aspiration precautions. There is no evidence of this noted on the aide plan of care. Aide is assigned to offer fluids. This was corrected on site as the aide plan of care was updated.