Every finding on record at Devoted Guardians Hospice

Upon patient record review, 1 of 5 (Patient #1) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #1: MSW frequency indicated one time and then prn within 5 days and 1x mo. Patient was on service more than one month. No evidence of MSW visit provided in month of October.

Upon personnel record review, 1 of 1 applicable (Personnel #5) did not have evidence in the personnel file that the following competency assessment was performed by the aide with a patient: (This standard applies to all Hospice Aides providing care/service who are directly employed by the hospice or through a contractual agreement.) Shampoo, sink, tub, and bed Personnel File #5: The aide competency for shampoo did not indicate if it included sink, tub and/or bed.

Upon patient record review 3 of 3 applicable (Patient #1, #2, #3) did not have evidence documentation in the patient record that a hospice aide provides services that are ordered by the interdisciplinary group and included in the plan of care Patient #1, 2, 3: Initial POC included HHA frequency 2xwk. There was no evidence of aide care plan completed and no evidence aide service provided.

Upon contract review, 1 of 4 (Rehab) did not have evidence the agreement to furnish any services under arrangement included that the hospice must retain administrative and financial management, and oversight of staff and services for all arranged services, to ensure the provision of quality care. Arranged care/services are supported by written contract/agreement that requires all care/services are authorized by the hospice, furnished in a safe and effective manner by qualified personnel and delivered in accordance with the patient's plan of care.