Every finding on record at Life & Love Hospice Care Group

Upon patient record review 1 of 14 (Patient #9) did not have evidence in the patient record that the comprehensive assessment identifies the physical, psychosocial, emotional, and spiritual needs related to the terminal illness that must be addressed in order to promote the hospice patient's well-being, comfort, and dignity throughout the dying process. Patient 9: The patient was admitted for hospice services on 04.04.2023. There is no evidence the patient has yet to have a comprehensive initial assessment by the social worker to assess for psychosocial needs.

Upon patient record review and direct observation during the home visit, 1 of 14 (Patient #1, 5) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including equipment and supply needs. Patient 1: The patient utilizes a wheelchair for management of the terminal illness; however, this DME was not included on the plan of care. (corrected onsite) Patient 5: The patient utilizes a cane and walker for management of the terminal illness; however, this DME was not included on the plan of care. (corrected onsite)

Upon client record review, 5 of 10 (Patient #1, 3, 7, 8, 10) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient 1: Discipline orders indicated the SN was to visit the patient one time weekly. However, during the week of 02.26.2023, the patient was seen twice by a skilled nurse, on 02.26.2023 and again on 03.04.2023. Patient 3: Discipline orders indicated the SN was to visit the patient twice weekly. However, for the entirety of the patient's admission for hospice services, the SN has visited the patient only once weekly. (corrected onsite) Patient 7: Discipline orders indicated the SN was to visit the patient one time weekly. However, during the week of 02.19.2023, the patient was seen twice by a skilled nurse, on 02.19.2023 and again on 02.22.2023. Patient 8: Discipline orders indicated the SN was to visit the patient one time weekly. However, during the week of 02.26.2023, the patient was seen twice by a skilled nurse, on 02.28.2023 and again on 03.04.2023. Patient 10: Discipline orders indicated the SN was to visit the patient one time weekly. However, during the weeks of 01.22.2023, 02.19.2023, and 02.26.2023, there was no evidence that a SN visit was made, and no documentation of a missed visit.