Every finding on record at Eden Hospice at Snohomish County, LLC

Upon patient record review, 2 of 13 (Patient #2, #13) did not have evidence that a revised plan of care includes information from the patient's updated comprehensive assessment and must note the patient's progress towards outcome/goals from the plan of care. Patient 2:The medical record contains nursing documentation on 11/20/23 of symptoms of an eye infection requiring antibiotic therapy using Tobramycin 0.3% eye drops, OU three times a day for 10 days. There is no evidence of an update to the plan of care to include problems, goals and interventions related to infection. Patient 13:The medical record contains nursing documentation on 11/15/23 of significant decline in patient status and imminence. There is no evidence of an update to the plan of care to include problems, goals and interventions related to imminence.

Upon patient record review 1 of 13 (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 plan of care included tasks of assist to toilet, bathing/shower, shampoo hair, skin care, oral care, nail care, dressing, prepare snack, change linens, companionship and empty trash with the assigned frequency of every visit. The aide documentation on visit 1/4/24 noted that tasks were not performed with the reason as not required this visit. Aide documentation on 1/8/24 noted that tasks of assist to toilet and companionship were not performed with the reason as not required this visit. Aide documentation on 1/9/24 noted that the tasks of prepare snack, empty trash and change linens were not performed with the reason as not required this visit.