Every finding on record at Caremed Hospice Inc

Upon patient record review, 1 of 14 (Patient #3) did not have evidence that the patient chooses a health care provider, including an attending physician. Patient #3: Consent "Right to Choose an Attending Physician" marked that "I acknowledge that my choice of attending physician is:" however section left blank.

Upon client record review, 3 of 14 (Patient #1, 2, 5) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #1: POC dated 1/8/24 and SN once a week and twice a week every other week. No evidence of a second visit every other week. Only one visit per week documented wks of 1/8, 1/14, 1/21, 1/28, 2/4, 2/11, 2/18, 2/25 and 3/3. POC dated 3/8/24 ordered SN once a week and twice a week every other week. No evidence of a second visit every other week. Only one visit per week documented wks of 3/10, 3/17, 3/24. No evidence of an SN visit the week of 3/31. Patient #2: Initial POC ordered SN 1xwk. 2 visits noted 12/26 by RN and SN. 2 SN visits noted the week of 1/7 on 1/12 by RN and LVN. Patient #5: Initial POC ordered SN 1xwk. No evidence of a visits the week of 10/29. 2 SN visits noted the week 11/19. Both visits were performed on 11/24 - one by the RN and one by the LVN. 2 SN visits noted the week of 12/3 Both visits were performed on 12/7. One by the RN and one by the LVN. 2 SN visits noted the week of 1/7. Both visits were performed on 1/11. One by the RN and one by the LVN. Week of 1/24 2 SN visits noted on 1/25 by the RN and LVN.

Upon observation, there was no evidence the hospice follows acceptable standards of practice to prevent the transmission of infections and communicable diseases, including standard precautions. Patient 1: RN set nurses bag down on patients kitchen table without having a barrier fully underneath the bag and didn't wipe down the bottom of the bag after the visit was completed. Patient 2: RN set nurses bag down on patients couch without having a barrier underneath the bag and didn't wipe down the bottom of the bag after the visit was completed.

Upon patient client record review, 1 of 14 (Patient #5) did not have evidence that each patient record contains Advance Directives Patient #5: RN Admission assessment marked "Yes" to advance directives but nothing was marked to indicate which advance directives the patient has and nothing attached to the chart. No copies of Advance Directives in the patient chart.