Every finding on record at Pro Hospice Care, Inc

Upon patient record review, 2 of 14 (Patient #1,2) did not have evidence that a revised plan of care includes information from the patient's updated comprehensive assessment and must note the patient's progress towards outcome/goals from the plan of care. Patient #1,2, MSW initial assessment did not identify funeral home. No evidence of care plan identifying plan to identify funeral home.

Upon patient record review, 1 of 3 (Patient #3) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #3, Documentation on 2/1/25 of stage 2 pressure injury to sacrum, no evidence of wound care orders. Skin impairment assessment staging key states stage 2 is skin break exposing subcutaneous tissue.

Upon observation, there was no evidence the hospice follows acceptable standards of practice to prevent the transmission of infections and communicable diseases, including standard precautions. Patient #1,2,3, No evidence of RN changed gloves without sanitizing hands before applying new set of gloves.

Upon patient record review, 1 of 14 (Patient #1) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Electronic signatures are acceptable as long the hospice is following appropriate safeguards to prevent unauthorized access to the patient records. Patient #1, CTI physician narrative states patient lives in a group home. Patient lives with daughter in daughters home.