Every finding on record at Homeline Hospice Inc

Upon contract review, 1 of 2 (Advance Wound Care/Wound Care Pros-same company) did not have evidence the agreement to furnish any services under arrangement included that the hospice must retain administrative and financial management, and oversight of staff and services for all arranged services, to ensure the provision of quality care. Arranged care/services are supported by written contract/agreement that requires all care/services are: • Authorized by the hospice • Furnished in a safe and effective manner by qualified personnel • Delivered in accordance with the patient's plan of care Per current contract "no separate compensation required by Homeline Facilities to Wound Pros for the services, as Wound Pros is compensated by Medicare Part B,Medicaid or private insurance for provision of these services. Should Medicare refuse payment to Wound Pros, Wound Pros shall not seek repayment from Homeline facilities. The Homeline Facilities will pay $25 each for Wound Pros supply kits". The Hospice agency has tried to obtain an addendum to clarify billing however, this company refuses to sign the addendum and debate that the wound was not related to the pts Hospice diagnosis. There is a physician order dated 7/22/2024 stating the pts wound (Pt #1) is related to her terminal diagnosis. Agency reported they will no longer be using this wound company.

Upon patient record review, 1 of 14 (Patient #12) 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 #12: The initial bereavement risk assessment was performed on 5/3/24 (one year past admission). The patient was admitted on 5/3/23 and discharged on 3/27/24. The 5 day bereavement assessment was not timely.

Upon observation, there was no evidence the hospice is in compliance with accepted professional standards and principles for all core services which includes nursing services. The agency is using Omni Wound Care Physician company to routinely assess wound care and make recommendations. The Wound Care Company submits billing claims to patient insurance, not the Hospice for these services related to the terminal diagnosis.

Upon patient client record review, 1 of 14 (Patient #12) did not have evidence that each patient record contains: • Signed election statement in accordance with 418.24 Patient #12: The Election of Benefit form did not have effective date for start of care filled in on the space provided on the form.