Every finding on record at Medina Hospice, Inc.

Upon patient record review, 1 of 14 (Patient #1) 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: POC dated 9/12/24 did not contain the supplies necessary for the wound care ordered on 9/4 (medi-honey, gauze, normal saline).

Upon patient record review, 1 of 14 (Patient #2) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #2: Initial POC ordered SC 1xmonth. No evidence of a visit by the SC in June, July or August. No evidence of an order to discontinue SC services.

Upon patient record review, 2 of 14 (Patient #8,13) did not have evidence in the patient record that hospice aide assignments and duties are: • Assigned to a specific patient by a registered nurse that is a member of the interdisciplinary group • Written patient care instructions for a hospice aide must be prepared by a Registered Nurse who is responsible for the supervision of a hospice aide as specified under paragraph (h) of 418.76 • There is evidence in the patient record that the plan of care; indicate what tasks are to be done by the Aide and the frequency of these tasks. The use of “PRN” or “per patient choice”, for any task, whether personal care or non-personal care tasks, are not acceptable Patient #8: Aide careplan contained instructions for the aide to notify the case manager of vital signs outside of specified parameters, however, the aide wasn't assigned to complete vital signs on the aide plan of care. It is unclear if this task was supposed to be assigned to the aide. Patient #13: Aide ordered 1xwk effective 10/2/2023. Aide careplan dated 10/2/2023 contained the Aide frequency of "Declined".