Every finding on record at Healthy Choice Homecare LLC

Upon patient record review 4 of 7 (Patient #1,2,3,4) did not have evidence in the patient record that the comprehensive assessment identifies the physical, psychosocial, emotional, and spiritual needs related to the terminal illness that must be addressed in order to promote the hospice patient's well-being, comfort, and dignity throughout the dying process. Patient 1,2: There was no evidence of a spiritual care assessment of the patient or family. Chaplain services were declined. There is no evidence that the RN or the SW completed this part of the assessment. Additionally, there was no evidence of a psychosocial assessment of the patient or family. MSW services were declined. There is no evidence that the RN completed this part of the assessment. Patient 3: There was no evidence of a psychosocial assessment of the patient or family. MSW services were declined. There is no evidence that the RN completed this part of the assessment. Patient 4: There was no evidence of a spiritual care assessment of the patient or family. Chaplain services were declined. There is no evidence that the RN or the SW completed this part of the assessment.

Upon patient record review, 1 of 7 (Patient #2) did not have evidence in the patient record that the hospice has developed an individualized written plan of care for each patient. The plan of care must reflect patient/family goals and interventions based on the problems identified in the initial, comprehensive, and updated comprehensive assessments. The plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions. Patient #2: There is evidence the patient was on Eliquis 5mg daily. The Plan of care did not include bleeding precautions.

Upon patient record review, 1 of 7 (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: There is evidence the patient was on Eliquis 5mg daily. The hospice aide plan of care did not include bleeding precautions.