Every finding on record at Connect Care Hospice Inc

Upon patient record review, 1 of 14 (Patient #3) did not have evidence in the patient record that the comprehensive assessment includes a bereavement component which includes the needs of the patient's family and other individuals focusing on the social, spiritual, and cultural factors that may impact their ability to cope with the patient's death. Information gathered from the initial bereavement assessment is incorporated into the plan of care and is considered in the bereavement plan of care. Patient #3: There was no evidence a bereavement assessment was completed within 5 days of admission.

Upon patient record review, 1 of 14 (Patient #7) did not have evidence in the patient record that hospice aide assignments and duties are: • Assigned to a specific patient by a registered nurse that is a member of the interdisciplinary group • Written patient care instructions for a hospice aide must be prepared by a Registered Nurse who is responsible for the supervision of a hospice aide as specified under paragraph (h) of 418.76 • There is evidence in the patient record that the plan of care; indicate what tasks are to be done by the Aide and the frequency of these tasks. The use of “PRN” or “per patient choice”, for any task, whether personal care or non-personal care tasks, are not acceptable Patient #7: The aide plan of care dated 10-02-25 documented a "shower" was assigned, and in the RN comments also documented, "aide can bed bath patient" without a specified frequency for either task. Additionally, the medication profile indicated patient was taking Clopidogrel and ASA, but the RN did not document bleeding precautions as part of the aide plan of care. COS

Upon patient record review 3 of 14 (Patient #1,#6,#11) did not have evidence documentation in the patient record that a Registered Nurse made an on-site visit to the patient's home no less frequently than every 14 days to assess the quality of care and services provided by the hospice aide and to ensure that services ordered by the hospice interdisciplinary group meet the patient's needs. Patient #1: The aide was assigned 2 x week, but there was no evidence of a supervisory visit by an RN every 14 days. Patient #6: The aide was assigned 2 x week, but there was no evidence of a supervisory visit by an RN every 14 days. Patient #11: The aide was ordered 2 x week, but there was no evidence of a supervisory visit every 14 days from 02-08-25 to 08-11-25.

Upon patient client record review, 1 of 14 (Patient #8) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Electronic signatures are acceptable as long the hospice is following appropriate safeguards to prevent unauthorized access to the patient records. Patient #8: A supervisory visit for the LVN was completed on 09-11-25, but there was no visit by an LVN until 09-18-25.

Upon patient record review, 4 of 5 records (Patient #1,#2,#4,#5) did not have evidence the plan of care includes all services necessary for the palliation and management of the terminal illness and related conditions, including the following: • A detailed statement of the scope and frequency of services necessary to meet the specific patient and family needs • The IDG demonstrates a proactive approach in developing each patient's plan of care by planning ahead for anticipated patient changes and needs. Decisions should reflect the patient/family preferences rather than be solely a response to a crisis. Patient #1: The visit frequencies for the social worker and the spiritual care counselor were 1x/month and prn. There was not evidence of a quantifier for the prn visits. Patient #2,#4,#5: The visit frequency for the spiritual care counselor was 1x/month and prn. There was not evidence of a quantifier for the prn visits.

Upon observation, there was no evidence the hospice follows acceptable standards of practice to prevent the transmission of infections and communicable diseases, including standard precautions. Patient #4, Aide: During observed home visit, the staff member was observed using bar soap that was in the bathroom of the group home, to cleanse her hands prior to providing care.

Upon patient record review, 1 of 5 (Patient #2) did not have evidence in the patient record that hospice aide assignments and duties are: • Assigned to a specific patient by a registered nurse that is a member of the interdisciplinary group • Written patient care instructions for a hospice aide must be prepared by a Registered Nurse who is responsible for the supervision of a hospice aide as specified under paragraph (h) of 418.76 • There is evidence in the patient record that the plan of care; indicate what tasks are to be done by the Aide and the frequency of these tasks. The use of “PRN” or “per patient choice”, for any task, whether personal care or non-personal care tasks, are not acceptable Patient #2: The aide plan of care initially indicated a shower, this was crossed off with no notation made of an error or initials demonstrating that it was an error and, there was not evidence of who crossed of the task.