Every finding on record at Professional Hospice Care, LLC

Based on record review and interview, the agency failed to ensure volunteers provided day-to-day administrative and/or direct patient care services in an amount that, at a minimum, equaled 5 percent of the total patient care hours of all paid employees and contract staff. --- A review of the agency's Volunteer Hour Report sheets for 2024 revealed the the provider did not provide day-to-day administrative and/or direct patient care services in an amount that, at a minimum, equaled 5 percent of the total patient care hours of all paid employees and contract staff for the year 2024.  On 05/28/2025 at 3:15 p.m., an interview was conducted with S1 Administrator. S1 Administrator verified volunteers did not provide administrative and/or direct patient care services to meet the minimum 5 percent of total patient care hours for the year 2024.

Based on record review and interview, the agency failed to ensure the patient's written individualized POC (plan of care) was followed as evidenced by the agency failing to ensure all visits were made as ordered per the POC for 6 (#1, #3, #6, #7, #9, #11) of 11 (#1-#11) sampled patients. Findings: Patient #1: Review of Patient #1's medical record revealed a start care date of 06/03/2022. The patient's admitting diagnoses included Alzheimer's disease, history of falling, and dysphagia. The benefit period reviewed was 06/03/2022 through 08/31/2022. Review of Patient #1's POC for the benefit period of 06/03/2022 through 08/31/2022 revealed an order for Chaplain visits 1-2 per month. Review of Patient #1's visit notes revealed no documented evidence that any Chaplain visits were made from 06/03/2022 through the present date of 07/12/2022. In an interview on 7/12/2022 at 2:35 PM, S1 Administrator confirmed the Chaplain viists were not made as ordered for Patient #1. Patient #3: Review of Patient #3's medical record revealed a start care date of 05/24/2022 with diagnoses that included Parkinson's disease, encephalopathy, and chronic pain. The benefit period reviewed was 05/24/2022 through 8/21/2022. Review of Patient #3's POC for the benefit period of 05/24/2022 through 08/21/2022 revealed an order for skilled nurse visits 2 times per week. Review of Patient #3's visit notes revealed only one skilled nurse visit was made for the weeks of 06/12/2022-06/18/2022, 06/26/2022-07/02/2022, and 07/03/2022-07/09/2022, In an interview on 7/12/2022 at 2:35 PM, S1 Administrator confirmed Patient #3 did not receive the skilled nurse visits twice per week as scheduled in the POC. Patient #6: Review of Patient #6's medical record revealed a start care date of 05/21/2022 with diagnoses that included malignant neoplasm of the right lung. The benefit period reviewed was 05/21/2022 through 08/18/2022. Review of Patient #6's POC for the benefit period of 05/21/2022 through 08/18/2022 revealed an order for skilled nurse visits twice per week. Review of Patient #6's visit notes revealed only one skilled nurse visit was made for the weeks of 06/26/22-07/02/2022 and 07/03/2022-07/09/2022. In an interview on 07/12/2022 at 2:35 PM, S1 Administrator confirmed Patient #6 did not receive the skilled nurse visits twice per week as scheduled in the POC. Patient #7: Review of Patient #7's medical record revealed a start care date of 05/31/2022 with diagnoses that included age-related cognitive decline, schizoaffective disorder, and pain. The benfiet period reviewed was 05/31/2022 through 08/28/2022. Review of Patient #7's POC for the benefit period of 05/31/2022 through 08/28/2022 revealed an order for hospice aide visits three times per week. Review of Patient #7's visit notes revealed only two hospice aide visits were made for the weeks of 06/05/2022-06/11/2022, 06/12/2022-6/18/2022, 06/19/2022-06/25/2022, 06/26/22-07/02/2022, and 07/03/2022-07/09/2022. In an interview on 07/12/2022 at 2:35 PM, S1 Administrator confirmed Patient #7 did not receive the hospice aide visits three times per week as scheduled. Patient #9: Review of Patient #9's medical record revealed a start care date of 06/16/2022 with diagnoses that included cirrhosis of the liver, hepatic failure, and chronic pain. The benefit period reviewed was 06/16/2022 through 09/13/2022. Review of Patient #9's POC for the benefit period of 06/16/2022 through 09/13/2022 revealed an order for skilled nurse visits twice per week. Review of Patient #9's visit notes revealed only one skilled nurse visit was made for the weeks of 06/26/2022-07/02/2022 and 07/03/2022-07/09/2022. In an interview on 07/12/2022 at 2:35 PM, S1 Administrator confirmed Patient #9 did not receive the two skilled nurse visits each week as scheduled in the POC. Patient #11: Review of Patient #11's medical record revealed a start care date of 05/22/2022 with diagnoses that included chronic obstructive pulmonary disease, dysphagia, diabetes, and Alzheimer's disease. The benefit period reviewed was 05/22/2022 through 07/20/2022. Review of Patient #11's POC for the benefit period of 05/22/2022 through 07/20/2022 revealed orders for Chaplain visits twice per month and MSW (Medical Social Worker) visits twice per month. Review of Patient #11's visit notes revealed the patient had only received one Chaplain visit and one MSW visit from 06/08/2022 through 07/12/2022. In an interview on 07/12/2022 at 2:35 PM, S1 Administrator confirmed Patient #11 did not receive the two Chaplain visits and two MSW visits per month as scheduled in the POC.