Every finding on record at Hospice of Miami County, Inc.

Observed in Record Review. In 1 of 13 patient records reviewed, the hospice surveyor noted that the plan of care did not include updated orders related to treatments necessary to meet the patient's needs. Following record review of (HV#1) of a patient who had a foley catheter placed a month following admission, the surveyor noted there was not an order written until over a month following the insertion. This was confirmed with the Executive Director.

Observed in Record Review. In 1 of 13 patient records reviewed, the surveyor noted that there was lack of documentation to ensure that ongoing information was being shared between disciplines providing care. Following record review of (HV#1) of a patient that was ordered a home health aide, the surveyor noted that there were multiple times a bath was not documented as being completed but there is no documentation that there was communication with the nurse that this was occurring so the aide plan of care could be reviewed and adjusted. This was confirmed with the Executive Director.

Observed in Record Review. In 1 of 10 patient records reviewed, of patients ordered a home health aide, the surveyor noted that the aide documentation did not support that the current aide plan of care was being followed. Following record review of (HV#3) of a patient that was originally ordered a shower and later the task was changed to bed bath, the surveyor noted there were multiple days that a bath was not documented as being completed at all. This was confirmed with the Executive Director.