Every finding on record at Hospice Care of America, LLC

It is required that hospice care of the patient/resident is stated in a written plan of care established and maintained in consultation with SNF/NF or ICF/IDF representatives. The hospice plan of care identifies the care and services that are needed and specifies which provider is responsible for performing the functions that are agreed upon and included in the plan of care. This standard was not met as evidenced by a review of clinical records, observation on home visits, document review and interviews. Policy C26, "Care in the Nursing Facility (Reviewed: 2022)," states in part, "Policy Provisions: Hospice Plan of Care 2. The hospice plan of care identifies the care and services that are needed and specifically identifies which provider is responsible for performing the respective functions that have been agreed upon and included in the plan of care." 2 of 2 (100%) clinical records reviewed of patients receiving routine hospice care in a skilled nursing facility (SNF) revealed the plans of care (POC) lacked specification as to which provider is responsible for performing the functions that are agreed upon and included in the POC. Clinical Record 1: The patient was admitted on 1/13/23 to routine hospice care at a Skilled Nursing Facility (SNF). During the observed home visit on 2/1/23, the hospice binder was reviewed. The POC lacked specifically which provider was responsible for performing the functions that were agreed upon and included in the POC. Clinical Record 2: The patient was admitted on 1/5/23 to routine hospice care at a SNF. During the observed home visit on 2/1/23, the hospice binder was reviewed. The POC lacked specifically which provider was responsible for performing the functions that were agreed upon and included in the POC. Upon interview on 2/1/23, both the Interim Administrator/Interim Director of Clinical Services (DCS) and the Interim Administrator Designee/Interim DCS designee reviewed and agreed with the above findings.