Every finding on record at Crystal Hospice Care Inc.

Upon patient record review, 1 of 5 (Patient # 1) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including equipment and supply needs. Patient #1: Following home visit, patient's home supplies were not present on patient's POC. The supplies include wipes, depends and moisture barriers.

Upon patient record review 1 of 5 (Patient #1) did not have evidence documentation in the patient record that a hospice aide provides services that are: • Ordered by the interdisciplinary group • Included in the plan of care • Permitted to be performed under state law by such hospice aide • Consistent with the hospice aide training Patient #1: The aide POC listed nail cleaning each visit. Aide documented this task as not completed on the following dates: 2/18, 2/20, 2/24, 2/26, 2/27, 3/3, 3/4, 3/5, 3/6, 3/11, 3/12, 3/13, 3/18, 3/19, 3/20, 3/24, 3/25, 3/26, 3/27, 3/31, 4/11, 4/2, 4/3, 4/7, 4/8, 4/9, 4/10, 4/12, 4/14, 4/15, 4/16, 4/17, 4/22, 4/23, 4/24, 4/28, 4/29, 4/30, 5/1, 5/5.