Every finding on record at Ivs Hospice, Inc.

Upon client record review, 4 of 14 (Patient #2, 4, 5, &9) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient 2: No evidence found SN visit was completed or missed for the week of 7/7/24. Patient 4 & 9: MSW initial assessment was conducted via telephone. No evidence of MD approval of telehealth visits found on the plan of care. Patient 5: No evidence found of SN visit completed or missed week of 6/30/24.

Upon observation, there was no evidence the hospice follows acceptable standards of practice to prevent the transmission of infections and communicable diseases, including standard precautions. During all home visits the nurse was not observed performing any hand cleansing, whether with soap and water or with hand sanitizer. The nurse was not observed cleansing/sanitizing equipment before, during, or after the home visits.

Upon patient client record review, 2 of 14 (Patient #8 & 10) did not have evidence that each patient record contains:(this references that the documentation is part of the patient record. Citing the inaccuracy of a component of the record is cited under other standards) • Initial plan of care • Updated plan of care • Initial assessments • Comprehensive assessments • Updated comprehensive assessments • Signed and dated clinical and progress notes Patient 8: MSW visit dated 5/10/24 remains open and unsigned by clinician. Patient 10: MSW visit dated 5/28/24 remains open and unsigned by clinician.

Upon patient client record review, 2 of 14 (Patient #1 & 10) did not have evidence that each patient record contains: • Signed copies of the notice of patient rights in accordance with 418.52 • Signed election statement in accordance with 418.24 Patient 1& 10: The election statement is not signed by the patient or caregiver.