Every finding on record at Gravatis Hospice Care Inc

It is required that each patient’s individualized written plan of care includes all services necessary for the palliation and management of the terminal illness, including the medical supplies and appliances necessary to meet the needs of the patient. This standard was not met as evidenced by a review of clinical records, document reviews and interviews. 4 of 5 (80%) clinical records reviewed revealed the agency did not ensure that the individualized written plan of care included medical equipment necessary to meet the needs of the patient. Agency Policy No. 2-044.1 The Plan of Care stated in part, "The written plan of care will contain, but not be limited to, the following: DME and medical supplies necessary to meet patient needs." Clinical Record 1: The patient elected the Hospice Benefit on 12/14/2022. The start of care assessment stated the patient had an air mattress, bed, walker, wheelchair, shower chair, and commode and needed a Hoyer lift. The 12/14/2022 Hospice Plan of Care and the 12/16/2022 updated Hospice Plan of Care did not include any durable medical equipment. Clinical Record 2: The patient elected the Hospice Benefit on 12/14/2022. The start of care assessment stated the patient had a bed, walker, wheelchair, shower chair, commode, and a cane. The 12/14/2022 Hospice Plan of Care and the 12/16/2022 updated Hospice Plan of Care did not include any durable medical equipment. Clinical Record 3: The patient elected the Hospice Benefit on 12/14/2022. The start of care assessment stated the patient had an air mattress, bed, bedpan, wheelchair, shower chair, and a commode. The 12/14/2022 Hospice Plan of Care and the 12/16/2022 updated Hospice Plan of Care did not include any durable medical equipment. Clinical Record 4: The patient elected the Hospice Benefit on 12/14/2022. The start of care assessment stated the patient had a walker. The 12/14/2022 Hospice Plan of Care and the 12/16/2022 updated Hospice Plan of Care did not include any durable medical equipment. In an interview with the Administrator on 12/28/2022, the Administrator stated durable medical equipment had been inadvertently omitted from the Hospice Plans of Care and had since been corrected.