Every finding on record at Radiant Light Hospice LLC

It is required that a patient clinical record containing past and current findings is maintained for each hospice patient. The record contains correct clinical information that is available to the patient’s attending physician and hospice staff. The record may be maintained electronically or on paper. Each patient’s record includes, at a minimum: Physician orders. This standard was not met as evidenced by clinical record review and interview. In 1 of 5(20 %) clinical records reviewed the agency did not ensure the clinical records included physician orders. CLINICAL RECORD 5: The hospice benefit was elected on 10/16/2024 with a diagnosis of Alcoholic cirrhosis of liver without ascites. Skilled Nursing visit note dated 12/09/2024 documented that volunteer services were offered to help the patient pack, as the patient was moving out of the service area. There were volunteer notes dated 12/11/2024 and 12/12/2024, however there was no documented evidence that the plan of care was updated and no physician order for volunteer services. During an interview with the administrator/director of nurses (Personnel Record 1) on 04/02/2025, she stated that the plan of care was not updated before the patient's discharge a few days later. The volunteer had gone out to help the patient and family pack, but she would be sure that the plan of care was updated when a volunteer was requested.