Every finding on record at Caring Hands Hospice Care, Inc.

It is required that each patient’s individualized written plan of care reflects patient and family goals, and identifies planned interventions based on problems identified in the initial and updated comprehensive assessments. This standard was not met as evidenced by a review of clinical records, document reviews and interviews. 1 of 5 (20%) clinical records reviewed revealed the written plan of care (POC) lacked patient and family goals and interventions based on problems identified in the initial and updated comprehensive assessments. Clinical Record 1: The patient was admitted on 1/8/22. The CTI dated 9/5/22 (Certification period 9/5/22 to 11/3/22), the physician stated the patient had bowel incontinence. The interdisciplinary group (IDG) POC dated 9/5/22 lacked a goal and intervention(s) for bowel incontinence. The Agency Plan of Care Policy Policy #9-017, "The Plan of Care (Revised: 11/2020)", stated in part, "The plan of care will be based on the initial, comprehensive and ongoing comprehensive assessments performed by members of the interdisciplinary group. . . This plan will focus on identified problems, goals, and interventions." Upon interview on 9/21/22, the Director of Patient Care Services reviewed and agreed with the above finding.