Every finding on record at Primal Care Hospice Inc

Upon patient record review 1 of 14 (Patient #9) 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 #9, Aide frequency 2x/week starting on 1/8/24, aide plan of care frequency changed to 1x/week on 2/10/24. No evidence of frequency order to decrease visits to 1x/week.

Upon patient record review 1 of 14 (Patient #7) did not have evidence documentation in the patient record that a Registered Nurse made an on-site visit to the patient's home no less frequently than every 14 days to assess the quality of care and services provided by the hospice aide and to ensure that services ordered by the hospice interdisciplinary group meet the patient's needs. Patient #7, No evidence of supervisory visit completed until 2/13/24. Aide frequency 2x/week with first visit completed 1/2/24.