Every finding on record at Orangeview Hospice Care Inc

Upon patient record review, 1 of 5 (Patient #3) did not have evidence in the patient record that the hospice has developed an individualized written plan of care for each patient based upon all problems identified in the initial and/or comprehensive assessments. Patient 3: The initial comprehensive assessment, dated 11.14.2021, indicates the patient is incontinent of bladder and has a history of recurrent UTIs. The medication list indicates the patient takes cranberry 400mg bid po for UTI prophylaxis. Treatment orders are in place for the use of both Calmoseptine and A&D ointment to protect the skin related to frequent moisture. Subsequent SN visit notes indicate the patient remains incontinent of bladder, requires frequent diaper changes, and related skin protection. However there is no care plan developed related to GU status or skin integrity. (corrected onsite)

Upon patient record review, 1 of 1 applicable (Patient #4) did not have evidence in the patient record that hospice aide assignments and duties include the tasks to be performed and the frequency of those tasks. Patient 4: The hospice aide care plan, dated 11.21.2021, does not specify the frequency of the tasks the aide is to perform. The patient requires a bath via shower chair, shampoo hair, and brush teeth.