Every finding on record at Medhospice, Inc

Upon patient record review, 2 of 14 (Patient #4, 14) did not have evidence in the patient record that the comprehensive assessment is updated including and by: • The hospice interdisciplinary group (in collaboration with the individual's attending physician, if any) • Changes that have taken place since the initial assessment • Information on the patient's progress toward desired outcomes • Reassessment of the patient's response to care • The assessment update must be accomplished as frequently as the condition of the patient requires, but no less frequently than every 15 days Patient #4: RN visits occurred greater than 15 days between visits on 12/01/22 and 12/20/22, 02/14/23 and 03/10/23, and 05/13/23 and 06/10/23. The comprehensive assessment was not updated by the RN every 15 days. Patient #14: RN visits occurred greater than 15 days between visits on 02/24/23 and 03/14/23, 04/21/23 and 05/13/23, and 06/16/23 and 07/12/23. The comprehensive assessment was not updated by the RN every 15 days.

Upon client record review, 2 of 14 (Patient #4, # 14) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #4: All plans of care throughout services indicated RN visit was every 14 days. RN visits occurred greater than 14 days between visits on 12/01/22 and 12/20/22, 02/14/23 and 03/10/23, and 05/13/23 and 06/10/23. Additionally, patient refused in person visit, prompting a virtual visit for which there was no order. Patient #14: All plans of care throughout services indicated RN visit was every 14 days. RN visits occurred greater than 14 days between visits on 02/24/23 and 03/14/23, 04/21/23 and 05/13/23, and 06/16/23 and 07/12/23.