Every finding on record at Repose Hospice Care Inc

Upon patient record review, 2 of 14 (Patient #7,#8) 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 7:The plan of care included an order for anticoagulation therapy using Eliquis. There is no evidence of problems, goals and interventions for the risk for bleeding. Patient 8:The plan of care includes an order for suction as needed. There is no evidence of problems, goals and interventions for the use and safety of suction.

Upon patient record review, 2 of 6 (Patient #1,3) did not have evidence the plan of care must includes all services necessary for the palliation and management of the terminal illness and related conditions, including a detailed statement of the scope and frequency of services necessary to meet the specific patient and family needs. Patient #1: SC frequency listed "as needed". Frequency lacks specificity. Patient #3: SW frequency listed "per request". Frequency lacks specificity. Corrected on site.