Every finding on record at Homestead Hospice of Phoenix, LLC

Observed in Record Review. In 3 of 10 patient records reviewed, The organization did not inform the patient of their rights in writing. In RR # 2, RR # 7 RR , #8 the surveyor noted that on the hospice Election Statement form, the patient elected to received Patient Notification of hospice non-covered items , services, and drugs the organization failed to provide the beneficiary with the addendum that lists the item, services and drugs that the hospice has determined to be unrelated to the patient terminal illness and related condition that would not be covered by the organization. This was confirmed and verified by the Administrator.

Observed in Record Review. In 10 of 10 patient records reviewed, the organization did not have care plans with measurable goals and time frames for achieving those goals. For example RR #1 patient will be comfortable and remain free of injury. RR# 2 patient ADL needs are met to an optimal level , RR# 3 Patient/Family/PCG will express feeling of grief/loss and in HV#1, 2, 3, and RR # 4,5, 6, 7. This was confirmed with the Administrator.

Observed in Record Review. In 1 of 3 patient records reviewed, the organization did not plan the patient's care: The plan of care did not include all services needed for the palliation and management of the terminal illness and related conditions. RR#1 The patient was noted to be on oxygen therapy per the clinician assessments; however, the oxygen therapy order was not noted on the plan of care. This was confirmed by the Administrator.