Every finding on record at Family One Hospice & Palliative Care

Upon patient record review, 1 of 5 (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. Pt #1: Upon review it is noted the patient is on numerous blood thinners (ASA, Clopidogrel, & Xarelto) with no indications found in plan of care for bleeding precautions.

Upon observation, there was no evidence the hospice ensures that non-core services are provided to hospice patients and their families according to applicable laws and regulations. Non-core services include Physical Therapy, Occupational Therapy and Speech-Language Pathology. No contract executed for Speech-Language Pathology. Agency was able to obtain signed contract and required background checks on day one of survey, 3/7/24.

Upon contract review, 2 of 2 (Physician contracts) did not have evidence of a contract to fulfill the role of medical director or alternate medical director, if applicable. Both contracts specified "Medical Director" and did not delineate which was primary and alternate. Note, it was listed in job descriptions and governing body.

Upon patient client record review, 5 of 5 (Patient #1-5) did not have evidence that each patient record contains: • Signed copies of the notice of patient rights in accordance with 418.52 • Signed election statement in accordance with 418.24 The election statement does not contain an area to indicate the date of election of hospice services, only a signature date. There is also no area present to choose the attending physician. Of note, the choice of attending is included on the consent form.