Every finding on record at I Know Hospice, Inc.

Upon patient record review 1 of 14 (Patient #4) did not have evidence documentation in the patient record that a hospice aide provides services that are: • Ordered by the interdisciplinary group • Included in the plan of care • Permitted to be performed under state law by such hospice aide • Consistent with the hospice aide training #4-Aide POC has assigned task to check vital signs every visit. No documentation of vital signs in any aide visit.

Upon patient record review 1 of 14 (Patient #4) did not have evidence documentation in the patient record that a Registered Nurse made an on-site visit to the patient's home no less frequently than every 14 days to assess the quality of care and services provided by the hospice aide and to ensure that services ordered by the hospice interdisciplinary group meet the patient's needs. #4-There was no documentation of an on-site aide supervisory visit.

Upon patient record review, 1 of 5 (Patient #3) did not contain evidence that the IDG had documented the sharing of information between all disciplines providing care and services. The POC dated 11/26/21 included, "Maintain Systolic BP between 100-130." During record review, the BP recorded for home visit 11/09/21 was 147/67, and the BP on home visit 11/19/21 was 141/67. There was no documented evidence of these elevated BP results having reported to the Hospice Medical Director.

Upon patient record review, 2 of 2 applicable (Patients #4 and 5) did not contain a DC Summary that included all ACHC-required content, as follows. For each of these DC Summaries the following was not included: • The patient's current Plan of Care • The patient's latest Physician orders