Every finding on record at Global Health Hospice, Inc

Upon patient record review, 1 of 14 (Patient #8) did not have evidence the plan of care must includes all services necessary for the palliation and management of the terminal illness and related conditions, including the following: • A detailed statement of the scope and frequency of services necessary to meet the specific patient and family needs • The IDG demonstrates a proactive approach in developing each patient's plan of care by planning ahead for anticipated patient changes and needs. Decisions should reflect the patient/family preferences rather than be solely a response to a crisis. Patient #8 - The visit frequency for both the social worker and the spiritual care counselor was evaluation visit and 1 PRN.

Upon patient record review, 2 of 14 (Patient #1, 8) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including medications and treatments. Patient #1- SNF resident admitted 12/06/24 with foley catheter. POC has agency will follow SNF protocol and SNF will be responsible for care - agency did not include SNF protocol. Patient #8- SNF resident admitted 10/31/25 with biliary tube. POC has agency will follow SNF protocol and SNF will be responsible for care - agency did not include SNF protocol.

Upon patient record review, 2 of 14 (Patient #1, 2) did not have evidence the hospice offers bereavement counseling that includes: • Making bereavement services available to the family and other individuals in the bereavement plan of care up to 1 year following the death of the patient. Bereavement counseling also extends to residents of a SNF/NF or ICF/IID when appropriate and identified in the bereavement plan of care • Ensuring that bereavement services reflect the needs of the bereaved • Development of a bereavement plan of care that notes the kind of bereavement services to be offered and the frequency of service delivery Patient #1 - Patient expired 12/08/24; no documentation of bereavement services or that family no longer wanted services after 05/01/25. Patient #2 - Patient expired 07/08/25; no documentation of bereavement services or that family no longer wanted services after 08/01/25.

Upon patient record review, 1 of 14 (Patient #2) did not have evidence in the patient record that hospice aide assignments and duties are: • Assigned to a specific patient by a registered nurse that is a member of the interdisciplinary group • Written patient care instructions for a hospice aide must be prepared by a Registered Nurse who is responsible for the supervision of a hospice aide as specified under paragraph (h) of 418.76 • There is evidence in the patient record that the plan of care; indicate what tasks are to be done by the Aide and the frequency of these tasks. The use of “PRN” or “per patient choice”, for any task, whether personal care or non-personal care tasks, are not acceptable Patient #2 - Aide care plan did not have frequency for tasks: feeding assistance, hair care, mouth care, nails care, lotion or peri care.

Upon patient record review 1 of 14 (Patient #2) 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 - Visit date 06/12/25 the aide did not address task dressing, mouth care, nail care or peri care, also documented gave patient a shower but bed bath on care plan. Visit date 06/19/25 did not address dressing, mouth care, nail care, bath, hair care or applying lotion.