Every finding on record at Hestia Hospice & Family Care, LLC

Observed in Record Review. In 13 of 13 patient records reviewed, the organization had not ensured the patients goals and interventions included time frames required to meet the goals. This issue is widespread as the organizations electronic medical record did not provide avenues to set these timeframes, however, the text areas in the medical record did not identify this information as an alternative site. This was confirmed by the Regional Director of Survey Readiness.

Observed in Record Review. In 1 of 13 patient records reviewed, the organization had not ensured the documentation included all components of the Physicians order as required to guide effective medication management. For example, during review of the record associated with HV2 the entry to the medication profile failed to include the purpose of the medication. This was confirmed by the Regional Director of Survey Readiness.

Observed in Record Review. In 1 of 13 patient records reviewed, the organization had not ensured the patient was educated about the risks of being on an high risk medication. For example, during RR1 the Surveyor identified the patient was on an anticoagulant but there was no evidence of teaching regarding or identifying bleeding risks or actions to take if the patient should begin to bleed. This was confirmed by the Regional Director of Survey Readiness.