Every finding on record at Empyrean Hospice of Georgia, LLC

It is required that each patient’s individualized written plan of care includes all services necessary for the palliation and management of the terminal illness, including the drugs and treatment necessary to meet the needs of the patient. This standard was not met as evidenced by clinical record review, document review and interview. In 1 of 7 (14%) records reviewed revealed the agency did not ensure that each patient’s individualized written plan of care included all treatments necessary to meet the needs of the patient. Document 4: Policy No. 9-017 The plan of care read in part, '12. The written plan of care will contain, but will not be limited to, the following: S. Drugs and treatments.' Clinical Record 4: The hospice election of benefit was dated 01/24/2024. During review of the initial, the 02/04/2024 recertification and the 02/29/2024 updated hospice plans of care it was noted that the patient was diabetic and receiving 70/30 insulin 100u/ml 23 units twice daily. Also test strips were included in supplies or glucose testing. During the home visit observation (Home Visit 3) with the registered nurse (Staff 4) the blood sugar record was reviewed by the nurse and the caregiver stated blood sugar testing was being completed three times per day. At the time of the review on 02/20/2024, the plan of care did not included frequency of blood sugar testing nor any guidance on reporting/management of results. There were interventions on the Plan which read 'SN to educate patient/family in monitoring blood sugars." During interview on 02/22/2024, the administrator stated the patient's plan of care had been updated to include the frequency of blood sugar checks and guidance related to monitoring blood sugar results.