Every finding on record at Hospice Advantage, LLC

It is required that hospice care and services provided to patients and families follow the individualized plan of care established by: the hospice IDG in collaboration with the attending physician (if any). This standard was not met as evidenced by clinical record review and interview. In 1 of 19 (5%) clinical records reviewed, the agency did not ensure that hospice care and services followed the plan of care. Clinical Record 12: The patient elected the hospice benefit on 10/04/2023. The initial comprehensive assessment completed by the Registered Nurse dated 10/04/2023 documented, "speech therapy (ST) to evaluate and set up care as needed." The plan of care ordered a speech therapy evaluation. A review of the clinical record revealed no evidence that speech therapy completed an evaluation prior to the patient's discharge on 12/21/2023. There was no evidence of communication with the physician regarding the ST evaluation. In an interview on 02/08/2024, the Director of Clinical Services confirmed there was no follow-up for the speech therapy that was ordered on admission. No documented evidence of a speech evaluation. No further information was provided.