Every finding on record at Red Rose Hospice, Inc

Upon patient record review, 3 of 14 (Patient 1, 3 and 8) did not have evidence in the patient record that hospice aide assignments and duties are: • Assigned to a specific patient by a registered nurse that is a member of the interdisciplinary group • Written patient care instructions for a hospice aide must be prepared by a Registered Nurse who is responsible for the supervision of a hospice aide as specified under paragraph (h) of 418.76 • There is evidence in the patient record that the plan of care; indicate what tasks are to be done by the Aide and the frequency of these tasks. The use of “PRN” or “per patient choice”, for any task, whether personal care or non-personal care tasks, are not acceptable Patient 1, 3 and 8 hospice aide assignments note for "CHHA to check VS each visit" with no parameters to contact the RN.

Upon patient record review 2 of 14 (Patient 1 and 3) 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 1- Hospice aide assignment notes for hospice aide to check VS each visit. Aide visit note on 12/3/25 and 12/6/25 with no vital signs obtained. Patient 3- hospice aide assignment notes for hospice aide to check VS each visit. Aide notes 11/24/25, 11/28/25, 12/1/25 and 12/4/25 with no vital signs obtained.

Upon patient record review, 1 of 5 (Patient #3) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including equipment and supply needs. Patient # 3: The home visit identified the following DME that was not listed on patients Plan of Care: rollator (4-wheel walker), shower chair, hospital bed or bedside commode.