Every finding on record at Meridian Hospice Inc

Upon patient record review, 2 of 14 (Patient #1, 2) 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, 2: These patients had DuoNebs ordered as a component of their comfort pak medications; however, these patients did not have evidence of a nebulizer included on the plans of care. The nebulizers were present in the patients' homes. (corrected onsite)

Upon patient record review, 1 of 14 (Patient # 4) did not have evidence that Social work services are based on the patient's psychosocial assessment and the patient/family's needs and acceptance of these services. Patient 4: The MSW performed her initial comprehensive assessment on 07.23.2023. During that visit, the patient requested a referral to a psychologist or similar mental health professional for additional support. Also, the MSW stated in her summary that she would be reaching out to the patient on a weekly basis to offer support & assistance along with listening & emotional support. Ongoing orders were then written for MSW visits 1 x monthly. However, there is no evidence of any follow up relating to the patient's request for a psychologist referral or weekly check-ins by the MSW.

Upon patient record review, 7 of 14 (Patient #1, 2, 3, 4, 6, 7, 9) 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 1: The hospice aide care plan indicates that the patient requires a bed bath and a shampoo, but does not specify the frequency for the performance of the tasks. (corrected onsite) Patient 2: The hospice aide care plan indicates that the patient requires a bed bath, a shampoo, and brushing the teeth, but does not specify the frequency for the performance of the tasks. (corrected onsite) Patient 3: The hospice aide care plan indicates that the patient requires a bath using the shower chair, a shampoo, and brushing the teeth, but does not specify the frequency for the performance of the tasks. (corrected onsite) Patient 4: The hospice aide care plan indicates that the patient requires a shower, a shampoo, and brushing the teeth, but does not specify the frequency for the performance of the tasks. (corrected onsite) Patient 6: The hospice aide care plan indicates that the patient requires a bath using the shower chair, a shampoo, and brushing the teeth, but does not specify the frequency for the performance of the tasks. (corrected onsite) Patient 7: The hospice aide care plan indicates that the patient requires a bath using the shower chair, a shampoo, and brushing the teeth, but does not specify the frequency for the performance of the tasks. Patient 9: The hospice aide care plan indicates that the patient requires a bed bath, a shampoo, and brushing the teeth, but does not specify the frequency for the performance of the tasks.