Every finding on record at Intensive Hospice Care, Inc.

Upon observation, there was no evidence that the patient has the right: • To exercise his or her rights as a patient of the hospice • Have one's property and person treated with respect • To not be subjected to discrimination or reprisal for exercising his or her rights Patient #5: RN wearing generic picture ID badge that is not issued by agency and does not identify agency name.

Upon patient record review, 1 of 14 (Patient #2) did not have evidence that a revised plan of care includes information from the patient's updated comprehensive assessment and must note the patient's progress towards outcome/goals from the plan of care. Patient #2; SC 4/17 note starts with chaplain called patient for recertification and spiritual and emotional reassessment and support. Patient declined the spiritual care services of the hospice. The frequency was not updated to discontinue visits with 4/26 IDG POC review and no subsequent order.

Upon client record review,1 of 14 (Patient #5) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #5: SC frequency documented as Eval within 5 days of admission and then once a week starting 3/31/24. Patient was seen monthly