Every finding on record at Hospice Advantage, LLC

It is required that a hospice aide provides services included in the plan of care. This standard was not met as evidenced by clinical record review and interview. In 2 of 16 (12%) clinical records reviewed of patients that received Hospice Aide Services, the hospice did not ensure the Hospice Aide provided services as per the plan of care. Clinical Record 8: The patient elected the hospice benefit on 12/6/23. The plan of care for benefit period 1 (BP#1), dated 12/6/23 through 3/4/24, ordered Hospice Aide (HA) visits five times per week. A clinical record review revealed no evidence of HA visits documented the week of 12/24/23 through 12/30/23. There were three coordination of care/missed visit notes dated 12/26/23, which documented, “Staff gave care per nurse,” 12/27/23, which documented “Missed HA visit on 12/27, facility declines need for visit,” and 12/28/23, which documented, “Staff took care of patient care, nurse Jessica aware.” A physician order dated 12/21/23 read, “Facility declines need for aide or nurse visits on 12/25/23.” There was no evidence of a missed visit note for the fifth HA visit. Clinical Record 9: The patient elected the hospice benefit on 12/19/23. The plan of care for benefit period 3 (BP#3), dated 12/19/23 through 2/16/24, ordered HA visits two times per week. A clinical record review revealed one HA visit was documented for the week of 12/24/23 through 12/30/23. There was no evidence of a missed visit note for the second visit. During an interview and joint clinical record review on 1/11/24, the Executive Director of Clinical Operations confirmed that the Hospice Aide (HA) visits needed to be completed as ordered in the plan of care for records 8 and 9. They stated that an open Performance Improvement Plan is in place to address missed visits.