Every finding on record at Midas Touch Hospice Services, Inc

Upon patient record review 1 of 4 (Patient #4) 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 #4, RN initial assessment documents psychosocial distress rating as mild, need for MSW; yes. Order documented MSW services as declined. No evidence of comprehensive psychosocial assessment completed by RN during initial RN assessment. SC distress documented as mild, catholic, need visit: yes. Order documented SC services declined. No evidence of comprehensive SC assessment completed by RN during initial RN assessment.

Upon patient record review, 1 of 4 (Patient #2) did not have evidence in the patient record that a review was completed of all prescription and non-prescription medications, including herbal remedies that could affect drug therapy. This review includes, but is not limited to: • Effectiveness of drug therapy • Drug side effects • Actual or potential drug interactions • Duplicate drug therapy • Drug therapy currently associated with laboratory monitoring Patient #2, LVN SN note documented on 9/24/25; states caregiver reports administration of low dose of anxiolytics to support rest at night. No evidence of anxiolytics identified on medication profile.

Upon patient record review, 2 of 4 (Patient #1,4) did not have evidence in the patient record that the comprehensive assessment includes a bereavement component which includes the needs of the patient's family and other individuals focusing on the social, spiritual, and cultural factors that may impact their ability to cope with the patient's death. Information gathered from the initial bereavement assessment is incorporated into the plan of care and is considered in the bereavement plan of care. Patient #1,4, No evidence of primary bereaved identified for initial bereavement assessment. That area of form was left blank.

Upon patient record review, 3 of 4 (Patient #1,2,3) did not have evidence in the patient record that the hospice has developed an individualized written plan of care for each patient. The plan of care must reflect patient/family goals and interventions based on the problems identified in the initial, comprehensive, and updated comprehensive assessments. The plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions. Patient #1, LVN documented on SN note on 9/12/25, intermittent nausea and ongoing problem with constipation. No evidence of care plan with interventions and goals related to nausea and constipation. MSW initial assessment does not identify funeral home. No evidence of interventions and goals to assist with funeral home planning. Patient #2, LVN SN note documented on 9/24/25; states caregiver reports administration of low dose of anxiolytics to support rest at night. No evidence of interventions and goals identifying anxiolytics to support rest. Patient #3, MSW initial assessment does not identify funeral home. No evidence of interventions and goals to assist with funeral home planning.

Upon patient record review, 4 of 4 (Patient #1,2,3,4) did not have evidence that a revised plan of care includes information from the patient's updated comprehensive assessment and must note the patient's progress towards outcome/goals from the plan of care. Patient #1, Bereavement assessment identified as moderate risk. No evidence bereavement care plan was updated with moderate risk. Patient #2, Bereavement assessment identified daughter Nelli as moderate risk. No evidence bereavement care plan was updated with moderate risk. Patient #3, Bereavement assessment identified daughter Clara as low to moderate risk. No evidence bereavement care plan was updated with moderate risk. Patient #4, Macrobid for UTI started on 3/18/25. No evidence of care plan updated

Upon observation, there was no evidence the organization follows their policies and procedures to maintain the the patient's clinical record in confidential manner. Agency unable to find the discharged patients from the initial survey.

Upon review of unduplicated patients only 4 patients in last year. Agency had no patient in 2024 and were unable to find the discharged patients from the initial survey.