Every finding on record at Real Care Hospice Inc.

Upon patient record review, 1 of 5 records (Patient #4) did not have evidence in the patient record that the hospice has developed an individualized written plan of care for each patient. The plan of care must reflect patient/family goals and interventions based on the problems identified in the initial, comprehensive, and updated comprehensive assessments. The plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions. Patient 4: There is an order dated 1/2/2022 Oxygen 3L via NC PRN O2 sat <92%. There was no evidence of Oxygen safety or oxygen use within the care plan for problems and interventions.

Upon personnel record review, 3 of 8 applicable (Personnel #6, #11, #12) did not have evidence that personnel credentialing activities are conducted to verify qualifications of all credentialed/licensed personnel in the positions they hold at the time of hire, at renewal or in accordance with specific state practice act requirements. Personnel 6: The CNA certification expired 5/2/2021. There was no evidence personnel credentialing activities are conducted to verify qualifications of all credentialed/licensed personnel in the positions they hold through primary source verification. Corrected on site. Personnel 11: The PT license expired 10/31/2021.There was no evidence personnel credentialing activities are conducted to verify qualifications of all credentialed/licensed personnel in the positions they hold through primary source verification. Corrected on site. Personnel 12: There was no evidence of licensure. There was no evidence personnel credentialing activities are conducted to verify qualifications of all credentialed/licensed personnel in the positions they hold through primary source verification. Corrected on site.