Every finding on record at Care One Hospice Inc.

Upon patient record review, 5 of 5 records reviewed (Patient #1, #2, #3, #4, #5) did not have evidence in the patient record that the comprehensive assessment takes into consideration the imminence of death. Patient #1, #2, #3, #4, #5: The record indicted the patient had a comprehensive assessment on admission to hospice. There was no evidence in the comprehensive assessment that imminence of death was taken into consideration.

Upon patient record review, 1 of 5 (Patient #2) 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 indicated the patient was on Xarelto 20mg po QD and Plavix 75mg po QD since the start of care.  There was no evidence in the plan of care addressing bleeding precautions.  COS.

Upon personnel record review, 1 of 15 (Personnel #7) did not have evidence in the personnel file that the following competency assessment was performed by the aide with a patient: (This standard applies to all Hospice Aides providing care/service who are directly employed by the hospice or through a contractual agreement.) ·Communication skills, including the ability to read, write, and verbally report clinical information to patients, caregivers, and other hospice staff. ·Reading and recording temperature, pulse, and respiration ·Safe transfer techniques and ambulation. ·Normal range of motion and positioning ·Appropriate and safe techniques in personal hygiene and grooming that include-- ·(A) Bed bath ·(B) Sponge, tub, and shower bath ·(C) Shampoo, sink, tub, and bed ·(D) Nail and skin care ·(E) Oral hygiene ·(F) Toileting and elimination The other subject areas in this section may be evaluated through written examination, oral examination or after observation of a Hospice Aide with a patient. Personnel #7: The HR file indicated a competency checklist was completed on 7/2/24. There was no evidence the aide had a complete competency assessment which included reporting and documentation of a patient status and the care or service furnished. There was no evidence of her being checked off by the RN for handwashing, bag technique, and foley care.