Every finding on record at Encino Hospice Care, Inc

Upon patient record review, 1 of 19 (Patient #1) did not have evidence in the patient record that the hospice has developed an individualized written plan of care for each patient. The plan of care must reflect patient/family goals and interventions based on the problems identified in the initial, comprehensive, and updated comprehensive assessments. The plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions. Patient 1: The current medication profile has Keppra 500mg twice daily for seizures listed as an active medication. There was no evidence that problems, goals, and interventions related to neurological status or seizures were included on the plan of care.