Every finding on record at Morgan Hospice and Palliative Care, Inc.

Upon patient record review, 6 of 6 (Patient 1,2,3,4,5,6) did not have evidence in the patient record that the comprehensive assessment takes into consideration the imminence of death. Patients 1,2,3,4,5,6: The Comprehensive assessment does not contain evidence that imminence of death was assessed.

Upon patient record review, 4 of 6 (Patient 1,2,4,5) 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 Comprehensive assessment on 8/25/23 the nurse documented "uses cane". There is no cane listed on the POC. Patient 2: The Comprehensive assessment on 8/11/23 the nurse documented "use of assistive devices". There are no assistive devices listed on the POC. Patient 4: The Comprehensive assessment on 4/14/23 the nurse documented "pt uses a cane and a walker". The cane and walker are not listed on the POC. Patient 5: The Comprehensive assessment on 4/7/23 the nurse documented "uses cane". The cane is not listed on the POC.

Upon client record review, 1 of 6 (Patient 4) did not have evidence that if a patient revokes the election of hospice care or is discharged from hospice in accordance with §418.26, the hospice must forward to the patient's attending physician: • A copy of the hospice discharge summary • The patient's clinical record, if requested Patient 4: The patient revoked hospice and there is not evidence a copy of the discharge summary was sent to the physician.

Upon client record review, 1 of 6 (Patient 4) did not have evidence that the discharge summary includes all required information. Patient 4: The discharge summary did not contain the patient's care plan or the latest physician orders.