Every finding on record at Kindness Hospice Care, Inc

Upon patient record review 3 of 14 (Patient #1,2,3) did not have evidence in the patient record that the hospice interdisciplinary group, in consultation with the individual's attending physician (if any), completed the comprehensive assessment no later than 5 calendar days after the election of hospice care. Patient #1, SC services declined, no evidence of spiritual assessment on initial RN assessment. Patient #2,3, MSW services declined, no evidence of psychosocial assessment on initial RN assessment.

Upon patient record review, 1 of 14 (Patient #1) did not have evidence in the patient record that the hospice has developed an individualized written plan of care for each patient. The plan of care must reflect patient/family goals and interventions based on the problems identified in the initial, comprehensive, and updated comprehensive assessments. The plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions. Patient #1, MSW initial assessment has no evidence of funeral home. No evidence of care plan addressing no funeral home.

Upon client record review, 3 of 14 (Patient #4,9,10) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #4, LVN frequency 1x/week. No evidence of weekly LVN visits. Visits completed 6/10, 6/24, 7/8, 7/22, 8/5, 8/19. Patient #9, LVN frequency 1x/week. No evidence of weekly LVN visits. Visits completed 8/29 and 9/12. Patient #10, SN frequency 1x/week. No evidence of weekly SN visits. Visits completed 8/15, 8/29.

Upon patient record review, 1 of 5 records (Patient #5) did not have evidence that the IDG in collaboration with the attending physician reviewed, revised and documents the individualized plan as frequently as the patient's condition requires but no less frequently then every 15 calendar days. The patient was admitted on 9/7/21 and revoked on 9/23/21, 16 days post admission. There was not evidence that the plan of care was reviewed and revised as frequently as the patient's condition requires but no less frequently then every 15 calendar days.

Upon patient record review, 1 of 5 records (Patient #3) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #3: The patient was admitted on 9/30/21. The record contained an assessment by the volunteer dated 8/15/21 with a note that stated the next volunteer visit would be on 9/15/21 in 1 month. The narrative section of the note indicated the next scheduled visit would be 8/8/21. There was not evidence that a visit frequency for the volunteer/volunteer coordinator was in the plan of care. In addition, the spiritual care counselor visit was dated 8/15/21. The patient was admitted on 9/30/21 and there was not evidence that a visit frequency for the spiritual care counselor was a part of the plan of care.

Upon patient record review, 1 of 5 records (Patient #3) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Patient #3: The patient was admitted on 9/30/21. The record indicated that the volunteer coordinator conducted a visit on 8/15/21 (prior to admission), and the spiritual care counselor conducted a visit on 8/15/21 (prior to admission).