Every finding on record at Compassionate Home Health & Hospice Inc

It is required that if a patient revokes the election of hospice care or is discharged from hospice per hospice regulation (i.e., no longer terminally ill), the hospice forwards to the patient’s attending physician: A copy of the hospice discharge summary and the patient's record, if requested. This standard was not met as evidenced by clinical record review, document review and interview. In 2 of 2 (100%) clinical records reviewed, where the patient was discharged from hospice care, it was revealed that the agency did not ensure a discharge summary was sent to the patient's attending physician. Agency Policy 1-025, Discharge from Hospice Program (dated November 2020), stated in part "A copy of the discharge summary will be sent to the attending physician. If request for the patient's clinical record will be provided." CLINICAL RECORD 9: The patient revoked hospice care on 10/09/2024. There was no documented evidence a discharge summary was sent to the attending physician. CLINICAL RECORD 10: The agency discharged the patient on 07/15/2025. There was no documented evidence a discharge summary was sent to the attending physician. In an interview on 09/03/2025, with the Director of Patient Care Services and Administrator, they stated they were unaware of the requirement to send a discharge summary to attending physician and confirmed discharge summaries were not sent to the attending physicians.

It is required that a hospice aide provides services ordered by the Interdisciplinary Group and included in the plan of care. This standard was not met as evidenced by home visit observation and documentation review. In 1 of 1 (100%) home visit observations the hospice agency did not ensure that the hospice aide provided services as ordered by the Interdisciplinary Group. Record #81183: (SOC 2/25/22; Benefit Period #1; Diagnosis Alzheimer's). The aide plan of care became effective on 3/20/2022. On 3/28/22, the aide did not document the checking of skin pressure areas as was included on the IDG ordered aide plan of care for each visit. On 3/30/22, the aide did not document the performance of skin care as was included on the IDG ordered aide plan of care to be performed each visit. On 4/7/22, the aide did not document the performance of inspecting/reinforcing wound care dressings as was included on the IDG ordered aide plan of care to be performed each visit. During home visit observation the aide removed inflatable boots that were on the patient’s lower extremities to provide bathing/skin care. The aide plan of care did not include the presence of inflatable boots or instructions to the aide to remove or replace the boots after bathing/skin care. Prior to the exit conference, the RN Case Manager validated these findings.