Every finding on record at Rogue River Healthcare LLC

Upon patient record review 3 of 11 (Patient #1,3,9) did not have evidence in the patient record that the hospice interdisciplinary group, in consultation with the individual's attending physician (if any), completed the comprehensive assessment no later than 5 calendar days after the election of hospice care. Patient 1: Admitted 11/25/22, spiritual assessment completed on 12/08/2022. Patient 3: Admitted 10/5/22, spiritual assessment completed on 10/12/2022. Patient 9: Admitted 1/16/23, spiritual assessment completed late on 01/25/2023.

Upon patient record review 2 of 11 (Patient #3,4) did not have evidence in the patient record that the comprehensive assessment identifies the physical, psychosocial, emotional, and spiritual needs related to the terminal illness that must be addressed in order to promote the hospice patient's well-being, comfort, and dignity throughout the dying process. Patient 3: No evidence that psychosocial assessment was completed. Patient 4: No evidence that psychosocial and spiritual assessment was completed.

Upon client record review, 1 of 11 (Patient #9) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient 9: Wound care performed twice a week by nursing. The wound care orders were incomplete and did not include a frequency for wound care. No evidence of wound measurements weekly per agency policy.