Every finding on record at High Quality Hospice Inc

Upon patient record review 2 of 11 (Patients #1 and 3) 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. Patients 1 and 3 no evidence of psychosocial and spiritual assessment completed after admission.

Upon patient record review, 1 of 11 (Patient #3) did not have evidence in the patient record that a review was completed of all prescription and non-prescription medications, including herbal remedies that could affect drug therapy. As observed during home visit and on record review patient has Naproxen Sodium, Omeprazole and Eyedrops which were not included in the patient's medication profile.

Upon patient record review, 2 of 11 (Patients #1 and 3) 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. Patients 1 and 3 no evidence of bereavement risk assessment completed after admission.

Upon patient record review, 1 of 11 (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 medications and treatments. As observed during home visit and on record review patient has Naproxen Sodium, Omeprazole and Eyedrops which were not included in the patient's medical records.

Upon patient record review, 10 of 11 (Patients #1,2,3,4,5,6,8,9,10 &11) the plans of care did not include the DME's that were necessary for the palliation and management of the terminal illness and related conditions Patient #1 plan of care did not include oxygen machine and walker which were identified on the nursing comprehensive assessment dated 5-14-2022. Patient #2 plan of care did not include air mattress, bed, overbed table, nebulizer, suction machine, and oxygen concentrator which was identified on the nursing comprehensive assessment dated 5-14-2022. Patient #3 plan of care did not include walker and shower chair which was identified on the nursing comprehensive assessment dated 5-5-2022. Patient #4 plan of care did not include oxygen machine and walker which was identified on the nursing comprehensive assessment dated 2-07-2022. Patient #5 plan of care did not include bed, walker, wheel chair and shower chair which was identified on the nursing comprehensive assessment dated 6-1-2022. Patient #6 plan of care did not include bed, overbed table, wheelchair, nebulizer, suction machine, and oxygen concentrator which was identified on the nursing comprehensive assessment dated 5-14-2022. Patient #8 plan of care did not include walker which was identified on the nursing comprehensive assessment dated 3-09-2022. Patient #9 plan of care did not include bed, walker, wheel chair, shower chair, oxygen tanks and concentrator which was identified on the nursing comprehensive assessment dated 1-03-2022. Patient #10 plan of care did not include air mattress, shower chair, bed oxygen concentrator which was identified on the nursing comprehensive assessment dated 7-13-2021. Patient #11 plan of care did not include air mattress, bed, wheel chair, walker, shower chair, oxygen tanks, and nebulizer which was identified on the nursing comprehensive assessment dated 1-03-2022.