Every finding on record at Faith Hospice Inc.

It is required that hospice care of the patient/resident is stated in a written plan of care established and maintained in consultation with SNF/NF or ICF/IID representatives. The hospice plan of care identifies the care and services that are needed and specifies which provider is responsible for performing the functions that are agreed upon and included in the plan of care. This standard was not met as evidenced by clinical record review, document review and interview. In 1 of 1 (100%) clinical record reviewed for a patient who resided in a Skilled Nursing Facility (SNF), it was revealed that the agency did not ensure care and services specified which provider was responsible for performing the functions included in the plan of care. DOCUMENT 1: Policy & Procedure 7.9 titled, Care to Residents of a SNF/NF or ICF/MR," stated in part, "The Hospice plan of care will identify the care and services that are needed and specifically identify which provider is responsible for performing the respective functions that have been agreed upon and included in the Hospice plan of care." CLINICAL RECORD 1: The patient resided in a Skilled Nursing Facility (SNF) as of 07/28/2025. The plan of care dated 07/28/2025 lacked evidence of the agreed upon providers (hospice & facility) respective functions related to the patient care and which provider was responsible for performing the respective functions that had been agreed upon and included in the Hospice plan of care. An interview was conducted on 10/30/2025 with the Director of Nursing/Alternate Administrator regarding the lack of a developed plan of care in relation to a patient residing in a Skilled Nursing Facility. She reviewed the plan of care and agreed no interventions or goals addressed the required elements of care planning for patient's residing in a Skilled Nursing Facility.