Deficiency Index

Every finding on record at Mission Care Hospice LLC

Arlington, Texas · CCN A91727

2 findings across 1 survey, in the inspector's own words.

The inspector’s own words from form CMS-2567, unedited, including CMS’s own spacing. Names and some dates are redacted by CMS.

Survey of May 14, 2024

2 findings
L0550

Upon patient record review, 1 of 5 (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:The medical record includes nursing documentation that the patient's equipment needs include a nebulizer and supplies. There is no evidence that a nebulizer and supplies are included as equipment needs on the plan of care. COS

L0626

Upon patient record review 2 of 5 (Patient #1,#4) did not have evidence documentation in the patient record that a hospice aide provides services that are: • Ordered by the interdisciplinary group • Included in the plan of care • Permitted to be performed under state law by such hospice aide • Consistent with the hospice aide training Patient 1:The aide documentation for visit on 4/1/24 does not note that tasks assigned were completed or refused and visit is signed by aide as completed. Patient 4:The aide plan of care includes the task of shampoo hair assigned weekly, The aide documentation has the task of shampoo hair as completed on 2/19/24 and 2/21/24; twice in the same week.

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Federal survey findings only. State licensure findings for hospices are not shown.

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