Every finding on record at Hospice Promise LLC

It is required that a hospice aide provides services: ordered by the Interdisciplinary Group, included in the plan of care, permitted to be performed under state law and regulation, and consistent with the hospice aide training. This standard was not met as evidenced by clinical record review. 2 of 9 (22%) records reviewed for patients receiving aide services revealed that the agency did not ensure that the hospice aide provided services as ordered on the plan of care. Clinical Record 6: The patient elected hospice care on 2/1/23. The plan of care dated 2/1/23 ordered aide services twice weekly. Missed aide visits were identified the weeks ending 2/18/23 and 2/25/23. The record lacked documentation of why the visit was not provided as ordered and that the RN or Physician was notified. Clinical Record 12: The patient elected hospice care 12/23/23. The plan of care dated 12/23/23 ordered aide services twice weekly. The week ending 2/18/23 the aide made three visits, and the record lacked documentation of why the extra visit was made. A missed aide visit was identified the week ending 2/25/23. The record lacked documentation of why the plan of care was not followed as ordered and that the RN or Physician was notified.

It is required that if a patient revokes the election of hospice care or is discharged from hospice per hospice regulation §418.26 (i.e., no longer terminally ill), the hospice forwards to the patient’s attending physician a copy of the hospice discharge summary, and the patient's record, if requested. This standard was not met as evidenced by clinical record review and interview. 1 of 1 (100%) record reviewed for a patient discharged from hospice services revealed that the agency did not ensure that a discharge summary was forwarded to the attending physician. Clinical Record 4: The patient revoked hospice services on 11/29/22. The record lacked documentation that the discharge summary had been forwarded to the patient's physician. The Clinical Director and Administrator were interviewed during a joint review of the clinical record on 3/9/23. Both acknowledged that there was no documentation validating that the discharge summary was provided to the physician.