Every finding on record at City of Hope Hospice Inc.

Upon patient record review, 1 of 14 (Patient #5) did not have evidence that a Registered Nurse is designated to ensure continuous assessment of the patient and family's needs and to coordinate activities with other members of the interdisciplinary group (IDG). The IDG must work together and is responsible for supervision of the care and service for each patient and family. Patient 05: The patient record indicates that the patient has a wound to the right lower extremity and a wound to the right foot, an RN visit was made on 3/21/24 but a wound assessment was not performed.

Upon patient record review, 1 of 14 (Patient #4) 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 04: Evidence in the patient medical record includes information that the patient has viral hepatitis C, the plan of care does not include a problem statement with interventions and goals for infection management and safety precautions.