Every finding on record at First Reliable Hospice Care, Inc.

Upon patient record review, 2 of 5 records (Patients #1, #3) 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: Per SOC SN assessment patient is incontinent of bowel and bladder, anorexic in bed most of day, Braden skin assessment scored 12 and High risk for skin breakdown. Dr. order has Precautions; skin care dated 8/5/2022. There was no evidence of a care plan problem with interventions for integumentary/ Skin. Corrected on site. Patient 3: Per SOC SN assessment patient is incontinent of urine, Braden skin assessment scored 12, states High Risk. Dr. Oder dated 7/29/2022 included Precautions: skin care. There was no evidence of a care plan with problem and interventions for integumentary/skin. Corrected on site.