Every finding on record at Legacy Now Hospice LLC

It is required that a hospice aide provides services ordered by the Interdisciplinary Group and included in the plan of care. This standard was not met as evidenced by clinical record review, interview, and observation. In 1 of 1 (100%) clinical record reviewed, in which hospice aide services were accepted, revealed that the agency did not ensure the aide was providing services as ordered by the Interdisciplinary Group (IDG) and included in the plan of care (POC). Clinical Record 1: The plan of care orders, effective 02/01/2024, included a frequency of visits for the aide of three (3) per week. For the week of 02/01/2024, only one (1) visit, dated 02/02/2024, was documented as completed. There were no additional aide visits documented or documented evidence to support why two (2) visits were missed. The hospice aide care plan, effective on 02/01/2024, documented instructions for the aide to provide a complete bed bath every visit. The aide documented completed visits on 02/02/2024, 02/05/2024, 02/07/2024, 02/09/2024, 02/12/2024, 02/14/2024, and 02/16/2024; however, the aide's clinical notes did not contain documented evidence to support that the bed bath was provided or documentation that the patient declined the bath. On 02/20/2024 a joint home visit (1) was made with the Medical Social Worker (Staff 3) and an interview was conducted with the patient on services provided. The patient stated the hospice aide did provide a bed bath on each visit. On 02/21/2024 a joint clinical record review and interviews were conducted with the Administrator and Director of Nursing, who confirmed that the clinical record did not contain documented evidence of a physician's order for an aide visit frequency of one (1) visit per week for the week of 02/01/2024. Leadership also confirmed that the clinical record did not contain documented evidence to support that the aide provided a bed bath as instructed, for the identified visit dates, or documented evidence to support that the patient declined the bath.