Every finding on record at Revive Hospice Care Group

Upon patient record review, 1 of 14 (Patient #4) did not have evidence that each patient and family received education and training provided as appropriate to their responsibilities for the care and services identified in the plan of care. Patient #4: 6/25/24 MD Order for Ozempic 0.5 mg/dose pre-filled pen solution for injection SC weekly for Type 2 DM. The nurse documented educated patient regarding Ozempic 6/30/24 visit note SN instructed patient Ozempic 0.25 mg or 0.5 mg dose prefilled pen solution for injection 1.34 mg 0.5 mg SC weekly. The instructions documented are not clear.

Upon patient record review, 1 of 14 (Patient #5) 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 medications and treatments. Patient #5: 6/9/24 MD order is unclear regarding frequency of fingersticks to be performed. It is written as finger stick blood sugar check via glucometer two times once daily and as needed for signs and symptoms of hyperglycemia and hypoglycemia.

Upon personnel record review, 1 of 12 (Personnel # 5) did not have evidence in the personnel file that the following competency assessment was performed by the aide with a patient: (This standard applies to all Hospice Aides providing care/service who are directly employed by the hospice or through a contractual agreement.) ·Communication skills, including the ability to read, write, and verbally report clinical information to patients, caregivers, and other hospice staff. ·Reading and recording temperature, pulse, and respiration ·Safe transfer techniques and ambulation. ·Normal range of motion and positioning ·Appropriate and safe techniques in personal hygiene and grooming that include-- ·(A) Bed bath ·(B) Sponge, tub, and shower bath ·(C) Shampoo, sink, tub, and bed ·(D) Nail and skin care ·(E) Oral hygiene ·(F) Toileting and elimination The other subject areas in this section may be evaluated through written examination, oral examination or after observation of a Hospice Aide with a patient. Personnel #5: The competency form currently utilized by agency does not confirm that HA competency meets requirement. Says Shampoo only, (not sink, tub and bed).

Upon patient client record review, 4 of 14 (Patient #1,2,3,4) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Electronic signatures are acceptable as long the hospice is following appropriate safeguards to prevent unauthorized access to the patient records. Patients #1,2,3,4: EMR states attending/referring MD CTI on file, but don't see evidence it is actually filed. But the physician chosen is medical director. Patients #1,2,3,4: Patients declined hospice election addendum, but a form was provided regarding non-covered medications. The forms provided were incomplete. They list medication but do not provide reason for non-coverage.