Every finding on record at Gabrielle Hospice Care Inc

Upon patient record review, 1 of 14 (Patient #5) did not have evidence in the patient record that the comprehensive assessment includes a bereavement component which includes the needs of the patient's family and other individuals focusing on the social, spiritual, and cultural factors that may impact their ability to cope with the patient's death. Information gathered from the initial bereavement assessment is incorporated into the plan of care and is considered in the bereavement plan of care. Patient #5, No evidence of a bereavement assessment completed, document states patient has no family members identified as a bereaved party. Primary bereaved information left empty.

Upon client record review, 4 of 14 (Patient #1,3,4,5) did not have evidence that the IDG in collaboration with the attending physician reviewed, revised and documents the individualized plan as frequently as the patient's condition requires but no less frequently then every 15 calendar days. Patient #1, No evidence Medical Director or SC signed their signature to 8/7/25 IDG note, therefore no evidence these disciplines reviewed and revised the individualized plan. Patient #3, No evidence Medical Director or SC signed their signature to 8/6/25 IDG note, therefore no evidence these disciplines reviewed and revised the individualized plan. Patient #4,5, No evidence of SC signed their signature to 8/6/25 IDG note, therefore no evidence these disciplines reviewed and revised the individualized plan.

Upon client record review, 2 of 14 (Patient #3,7) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #3, Order frequency is SN 1x/week. Visits made by both RN and LVN in the same week on weeks of 7/3, 7/17, 7/26/25. No evidence frequency order was followed. Patient #7, Order frequency is RN every 14 days and SN 1x/week. LVN made visits every other week and RN every 14 days, SN frequency not met.

Upon patient record review 2 of 14 (Patient #2,7) did not have evidence documentation in the patient record that a hospice aide provides services that are: • Ordered by the interdisciplinary group • Included in the plan of care • Permitted to be performed under state law by such hospice aide • Consistent with the hospice aide training Patient #2, Care plan initiated by RN for aide documents patient is to use wheelchair, 2 person transfer and mechanical lift. No evidence this was completed or refused on aide note dated 7.31.25. Patient #7, Aide documented record bowel movement on care sheet dated 8/5/25. No evidence of direction by RN to complete this task on the aide care plan.