Every finding on record at Caris Healthcare

Based on staff interview, record reviews, the hospice agency failed to have written agreements for the non-core services of physical therapy, occupational therapy, speech therapy, and dietary consultation. --- Review of written agreements of contracted providers, who work with the agency to provide patient care, failed to contain written agreements for the provision of non-core services of Physical Therapy, Occupational Therapy, Speech Therapy, and dietary consultation. On 11/15/23 at 11:00 a.m., an interview was conducted with the Administrator, Regional Director of Clinical Care (RDCC), and Regional Director of Operations (RDO). RDO confirmed that there was no formal written agreements.

Based on record reviews and staff interview, it was determined the hospice agency failed to obtain a written physicians order to admit to hospice services for10 patients (P) (P#5, P#6, P#7, P#8, P#9, P#10, P#11, P#12, P#13, and P#14) of 10 sampled patients. --- Findings include: 1. Record review of P#5 admitted 11/1/2023 reveals the physician order to admit to hospice failed to be included in the chart. 2. Record review of P#6 admitted 9/3/2023 reveals the physician order to admit to hospice failed to be included in the chart. 3. Record review of P#7 admitted 9/28/2023 reveals the physician order to admit to hospice failed to be included in the chart. 4. Record review of P#8 admitted 1/28/2022 reveals the physician order to admit to hospice failed to be included in the chart. 5. Record review of P#9 admitted 12/27/2021 reveals the physician order to admit to hospice failed to be included in the chart. 6. Record review of P#10 admitted 5/4/2023 reveals the physician order to admit to hospice failed to be included in the chart. 7. Record review of P#11 admitted 10/28/2022 reveals the physician order to admit to hospice failed to be included in the chart. 8. Record review of P#12 admitted 8/11/2023 reveals the physician order to admit to hospice failed to be included in the chart. 9. Record review of P#13 admitted 6/520/23 reveals the physician order to admit to hospice failed to be included in the chart. 10. Record review of P#14 admitted 6/8/2023 reveals the physician order to admit to hospice failed to be included in the chart. On 11/14/2023 at 1:00 p.m., an interview was conducted with the Regional Director of Clinical Care (RDCC) who confirmed each patient did not have a written order to admit to hospice services with an Medical Doctor (MD) signature and date of the order. The RDCC stated ";we (the agency) use the patients referral as the order to admit to hospice". The RDCC stated she understood each patient should have a written order to admit to hospice services signed and dated by an MD.