Every finding on record at Hope Fort Hospice Care, Inc.

Upon personnel record review, 1 of 10 (Personnel #7) did not contain evidence that an Aide Skills Competency Evaluation had been conducted, which included all CMS requirements: Personnel #7: An Aide Skills Competency Evaluation was conducted on 01/03/2025. However, the following skill set was not evaluated for: The Aide's knowledge of, and application of, the physical, emotional, and developmental needs of and ways to work with the various populations served by the Hospice.

Upon patient record review, 4 of 5 (Patients #2, 3, 4, and 5) did not contain evidence that all entries were clear: Patients #2, 3, 4, and 5: For all of these patients, their SOC admission Consent form reflected that, "The patient has no Advance Directives." However, for each of these patients, their SOC RN assessment notes indicated that they were designated as a D.N.R.; which their Plan(s) of Care also evidenced. This is unclear documentation.

Upon patient record review, 1 of 5 (Patient #4) did not contain a Discharge Summary, which included all CMS-required content: Patient #4: Discharged on 05/05/25. The DC Summary did not contain: • The patient's current Plan of Care • The patient's latest Physician orders

Upon Inpatient contract review, 1 of 1 (Sun Mar) did not contain evidence that the Hospice patient's Inpatient clinical record shall include: 1) A record of all inpatient services furnished and events regarding care that occurred at the facility; 2) That upon discharge from the Inpatient Level of Care, a copy of the Discharge Summary will be provided to the Hospice; and 3) That a copy of the Inpatient clinical record is available to the Hospice at the time of discharge.