Every finding on record at Generations Hospice and Palliative Care Inc

Upon client record review, 3 of 11 (Patient #1,2,3) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #1,2, SN frequency 1x/week. SN visit completed on 12/10/22 and 12/11/22. Patient #3, SN frequency 1x/week. SN visit completed on 1/10/23 and 1/11/23.

Upon patient record review 1 of 11 (Patient #8) 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 #8, Care plan states PJ/gown on 10/1/21 was not completed by aide. On 11/29/22 O2 documented on care plan and not completed by aide.

Upon client record review, 3 of 11 (Patient #9,10,11) did not have evidence that the discharge summary includes all required information. Patient #9,10, discharge summary states death visit without a summary of the patient's stay, treatments, symptoms and pain management. Patient #11, discharge summary incomplete, documented diagnosis and hospitalization date.