Every finding on record at Precious Hearts Healthcare Providers LLC

Upon patient record review, 3 of 7 (Patients #2,4, & 5) did not have evidence that the patient choose an attending physician.

Upon patient record review, 2 of 7 (Patients # 1& 4) did not have evidence in the patient record that the hospice has developed an individualized written plan of care for the patients; Patient #1 the comprehensive assessment on 6-11-23 and patient #4 comprehensive assessment on 6-12-23, assessed and identified patients as high risk for Pressure Ulcer with a high score of 6 based on Braden scale which, were not included in patient issues that were addressed in the plan of care and were necessary for the palliation and management of the terminal illness and related conditions.

Upon patient record review, 5 of 7 (Patient #1,2,3,4,& 5) did not have evidence and did not include in the plan of care all equipment and supplies necessary for the palliation and management of the terminal illness and related conditions. Patient #1 was assessed in the comprehensive assessment on 6-11-23 to have a walker, which was not included in the plan of care. Patient #2 was assessed in the comprehensive assessment on 1-06-23 to have an Air mattress, overbed table, walker, wheelchair walker, and is with a Foley catheter FR 20 supplies, which were not included in the plan of care. Patient #3 was assessed in the comprehensive assessment on 1-06-23 to have a hospital Bed, overbed table, wheelchair, which were not included in the plan of care. Patient #4 was assessed in the comprehensive assessment on 6-11-23 to have a wheelchair, hospital bed, overbed table which were not included in the plan of care. Patient #5 was assessed in the comprehensive assessment on 6-11-23 to have a hospital bed, air mattress & wheelchair which were not included in the plan of care.

Upon patient client record review, 3 of 7 (Patients #2, 4 & 5) did not have evidence of an attending physician. The individual or representative did not have an acknowledgement of choosing his or her physician.

Upon patient client record review, 5 of 7 (Patients #1,2,3,4 &5) did not have evidence that entries were legible, clear, complete, appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Patient #1 SN visits 7/17/23 & 7/29/23 were not signed/authenticated by the personnel who created the entry in the patients record. Patient #2 SN Visit 7/17/23 was not signed/authenticated by the personnel who created the entry in the patients record. Patient #3 SN Visits 7/12/23,7/18/23 were not signed/authenticated by the personnel who created the entry in the patients record. Patient #4 SN Visit 7/17/23 was not signed/authenticated by the personnel who created the entry in the patients record. Patient #5 SN visits, 1/26, 2/02, 2/22, 3/03, 3/09, 3/17, 3/24, 3/29 and SC visit 3/05 were not signed/authenticated by the personnel who created the entry in the patients record.

Upon client record review, 4 of 7 (Patient #4,5,6 & 7) did not have evidence that when patients were discharged from hospice in accordance with §418.26, the hospice have forwarded to the patient's attending physician a copy of the hospice discharge summary.

Upon client record review, 1 of 7 (Patient #4) did not have evidence in the discharge summary that it included all required information related to diagnosis, health history, symptoms, pain management goals, and goals that were not met.

Upon personnel record review, 3 of 12 (Personnel #9,10,11) did not have evidence that personnel credentialing activities were conducted to verify qualifications of these credentialed/licensed personnel in the positions they hold at the time of hire, in accordance with specific state practice act requirements.