Every finding on record at Healthplus Hospice LLC

Upon patient record review, 2 of 14 (Patients #12 and #14) did not have evidence that the patient choose a health care provider, including an attending physician. Patients #12 and #14: The Hospice Medicare Election statement does not identify the patient’s choice for the attending physician. The area on form provided for this choice is unchecked and left blank.

Upon patient record review, 3 of 14 (Patients #4, #6 and #13) 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 #4: The initial bereavement risk assessment was performed on 4/28/22. The patient SOC was on 4/6/22. Patient #6: The initial bereavement risk assessment was performed on 2/11/22. The patient SOC was on 1/27/22. Patient #13: There was no initial bereavement assessment completed for this patient.

Upon patient record review, 1 of 14 (Patient #3) 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 equipment and supply needs. Patient #3: Had an order for Albuterol 1.25mg/3mL 1 vail TID via inhalation. The nebulizer machine was not included on POC.

Upon patient client record review, 11 of 14 (Patients #2, 4, 5, 6, 7, 8, 9, 10, 11, 12 and 14) did not have evidence that each patient record contains: • Signed election statement in accordance with 418.24 Patients #2, 4, 5, 6, 7, 8, 9, 10 and 11: The effective date on Election Statement form was not filled in space provided. Patient #12 and 14: The effective date on Election Statement form was not filled in space provided. Also, the areas for Attending Physician choice and Notification of Non-Covered items were left blank.

Upon client record review, 1 of 14 (Patient #8). This patient did not have evidence that the discharge summary was populated at discharge to current date.