Every finding on record at Hope Hospice Palliative Care, LLC

Upon patient record review, 1 of 6 (Patient #1) 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. Patient #1: The medication profile included iodine crystals with instructions for "PRN thyroid" without indication of reason for administration or frequency.

Upon patient record review 1 of 4 applicable patients (Patient #5) did not have evidence documentation in the patient record that a hospice aide provides services that are: • Ordered by the interdisciplinary group • Included in the plan of care Patient #5: On all aide notes during the patients time on service, the aide documented that setup for meals was completed. There was not evidence that setup was part of the plan of care.

Upon patient client record review, 3 of 6 (Patient #4,#5,#6 ) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Patient #4, #5, #6: On admission, the comprehensive assessment by the nurse showed all three patients desired resuscitation efforts. The MSW comprehensive assessment documentation for all 3 patients showed the patients had advance directives, with intent for DNR, on file at the agency.