Every finding on record at Hospice Partners, Inc. Dba Wilshire Hospice

It is required that each patient’s individualized written plan of care reflects patient and family goals and identifies planned interventions based on problems identified in the initial and updated comprehensive assessments. This standard was not met as evidenced by a review of clinical records, document review and interviews. 3 of 13 (23%) clinical records reviewed revealed the agency did not ensure patients' individualized written plans of care (POC) reflected patient and family goals and interventions based on problems identified in the initial and updated comprehensive assessments. Clinical Record 5 The patient was admitted on 7/19/22. The Initial Nursing Assessment dated 7/19/22 stated the patient had an indwelling urinary catheter. The interdisciplinary group (IDG) POC dated 7/19/22 lacked a goal and interventions for the indwelling urinary catheter. Clinical Record 2 The patient was admitted on 2/5/21. The certificate of terminal illness (CTI) dated 9/19/22 (Certification period 9/28/22 --> 11/26/22) stated the patient had increased dysphagia and had a modified diet. The IDG POC dated 9/28/22 lacked a goal and interventions specific to the increased dysphagia and nutrition. Clinical Record 8 The patient was admitted on 8/12/22. The CTI dated 8/12/22 (Certification period 8/12/22 --> 11/9/22) stated the patient had bladder incontinence. The IDG POC dated 8/12/22 lacked a goal and interventions for bladder incontinence. The agency policy: The Plan of Care Policy #9-017, "The Plan of Care (Reviewed: 1/2022)", stated in part, "The plan of care will be based on the initial, comprehensive and ongoing comprehensive assessments performed by members of the interdisciplinary group . . . This plan will focus on identified problems, goals, and interventions." Interview with the Administrator and Director of Patient Care Services Upon interview on 10/26/22, the Administrator and Director of Patient Care Services reviewed and agreed with the above findings.