Every finding on record at Safeway Hospice Corp

Upon patient record review, 1 of 14 (Patient #2) 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 the following: • A detailed statement of the scope and frequency of services necessary to meet the specific patient and family needs • The IDG demonstrates a proactive approach in developing each patient's plan of care by planning ahead for anticipated patient changes and needs. Decisions should reflect the patient/family preferences rather than be solely a response to a crisis. Patient #2:POC dated 2/5/24 has orders for the RN as 1x then prn. There is no indication of prn rationale.

Upon patient record review, 2 of 14 (Patient #1,2) 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 #1: POC for patient dated 11/30/23 denotes Oxygen 2L/nc. The RN notes of 12/20/23 and 12/26/23 denotes patient is now on oxygen 4L/nc. No update made to plan of care. Patient #2: On assessment dated 2/5/24 nurse denotes patient is on Oxygen 2L/nc. This medication is not listed on the POC dated 2/5/24

Upon client record review, 2 of 14 (Patient #12,13) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #12: POC dated 6/29/24 orders LVN 1xweek. There was no evidence of visit or missed visit for the first week and the first visit was on 7/3/24. Patient #13: POC dated 5/25/24 states that both the MSW and SC are declined- there are no orders. The MSW visited 5/27/24 and the SC visited 5/26/24. There were no corrective orders present.