Every finding on record at Matrix Hospice, Inc

Observed in Record Review. In 7 of 7 patient records reviewed, the organization failed to establish an appropriate length of time for the care plan goals. For example, in RRHV #1 the goals for bowel elimination and cardiorespiratory status stated, in 3 weeks, evidenced by normalization of bowel elimination pattern an increased comfort, absence of s/s referable to gastritis including heartburns and in 3 weeks patient will maintain adequate oxygenation and verbalize improved shortness of breath. Patient will verbalize decreased fatigue and increased energy levels. Patient will maintain adequate nutritional intake and exhibit minimal weight loss. Patient will remain free from signs of bleeding and exhibit no evidence of infection. Patient and family will demonstrate understanding of the diagnosis and treatment plan. Both goals were indicated to be accomplished in 3 weeks. The same goals also indicated a target date to accomplish the goals within 4 weeks. The length of the goals was not clearly defined as to if the goals should be accomplished in 3 weeks or 4 weeks. In RRHV #2, the goal, comfort due to pain indicated, in 2 weeks prompt/adequate pain relief will be achieved and maintained within 0-2 (0-10 scale) through pharmacological measures. In 2 weeks and onwards, pt/pcg will verbalize/express understanding of pain medication/treatment orders and side effects. The target date for both goals was to be accomplished within 3 weeks of the start of care date. The length of the goals was not clearly defined as to if the goals should be accomplished in 2 weeks or 3 weeks. In RRHV #3 the comfort due to pain goal indicated, in 3 weeks patient will remain comfortable AEB pain below SIT level. The target date indicated within 4 weeks from the start of care date, therefore, the length of the goals was not clearly defined as to if the goals should be accomplished in 3 weeks or 4 weeks. There are similar findings in RRDC #1 and RRDC #2, RRBR #1 and RRBR #2. This was validated and reviewed with the Administrator and the Director of Nursing.