Every finding on record at Curo Health Services, LLC

Upon patient record review, 1 of 14 (Patient #14) did not have evidence the plan of care must 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 #14 - POC dated 10/20/23- Volunteer visit frequency 1wk1, 11 PRN.

Upon patient record review, 2 of 14 (Patient #9, 14) 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 medications and treatments. Patient #9 - POC dated 12/21/23 "wound care to buttocks............ 2xwk and PRN" - no modifier for PRN. Patient #14 - POC dated 10/20/23"wound care to coccyx ............... apply as needed" - no modifier for as needed.

Upon patient record review 3 of 14 (Patient #6, 7, 8) 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 #6 - POC dated 11/07/23 Aide frequency 2xwk - Task: nail care ordered weekly - provided every visit wk1 and wk2. Patient #7 - POC dated 11/02/23 Aide frequency 1wk1, 2wk8 - Task: shave and nail care weekly provided every visit wk2 and wk4 Patient #8 - POC dated 11/22/23 Aide frequency 1wk1, 2wk8 - Tasks: shampoo hair weekly - provided every visit visit wk2, 3, and 4.

Upon patient record review 1 of 14 (Patient #7) did not have evidence in the patient record that the hospice aides report: • Changes in the patient's medical, nursing, rehabilitative, and social needs to a registered nurse, as the changes relate to the plan of care and quality assessment and improvement activities • Hospice aides must also complete appropriate records in compliance with the hospice's policies and procedures Patient #7 - Aide visit date 11/27/23 - Aide documented skin breakdown to upper back but no documentation this information was provided to the SN.