Every finding on record at Rosewood Healthcare Services and Education Inc.

Upon patient record review, 2 of 9 (Patient #1, #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 #1, #8: Upon admission the patient did not have advance directives. There was no evidence of a care plan which documented patient goals or interventions to obtain advance directives or educate on resuscitation processes.

Upon patient client record review, 2 of 9 (Patient #3,#7) did not have evidence that each patient record contains: • Signed copies of the notice of patient rights in accordance with 418.52 • Signed election statement in accordance with 418.24 Patient #3:On the Informed Consent/Election of Benefits page 1/6, signed and dated 06-19-25 did not address the patient's financial responsibility as evidenced by the area being left blank. Patient #7:On the Informed Consent/Election of Benefits page 1/6, signed and dated 09-29-25 did not address the patient's financial responsibility as evidenced by the area being left blank.

Upon client record review, 3 of 9 (Patient #1,#5,#9) did not have evidence that the discharge summary includes all required information. Patient #1,#5,#9: There was no evidence the discharge summary included a summary of the patient's stay including symptoms and treatment, the current plan of care, the latest physician's order or post discharge continuity of care.