Every finding on record at Caring and Wellness Hospice Care, Inc

Upon patient record review, 1 of 14 (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 plan of care has orders for oxygen at 2L via NC continuously. There was no evidence of problems, goals, and interventions related to oxygen safety or respiratory care.

Upon patient record review, 2 of 14 (Patient #4,6) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient 4: The current plan of care has orders for chaplain visits to occur monthly and social services visit to occur once every certification period. No evidence that a chaplain visit occurred for the months of April 2025, May 2025, June 2025, and July 2025. No evidence that a social worker visit occurred for the second benefit period (05/01/2025-07/29/2025). No evidence that an order was received to change the visit frequency for those months or that the visits were missed at the request of the patient/CG. Patient 6: The current plan of care has orders for chaplain visits to occur monthly and social services visit to occur once every certification period. No evidence that a chaplain visit occurred for the months of April 2025, May 2025, June 2025, and July 2025. No evidence that a social worker visit occurred for the second benefit period (04/22/2025-07/20/2025). No evidence that an order was received to change the visit frequency for those months or that the visits were missed at the request of the patient/CG.