Every finding on record at Samaritan Hospice Care Inc

Upon client record review, 4 of 14 (Patient #1,2, 5, & 8) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient 1: MSW documentation reveals pt/cg does not desire in-person monthly visits but does desire monthly telephone visits. The plan of care contains frequency orders for MSW 1 x month. Monthly documentation reveals in person visit refused and telehealth visit conducted 7/18/24 lasting 30 minutes. No evidence found of telehealth visit orders. Patient 2: Wound care order dated 7/11/24 states, "clean the wound (right posterior sacrum/right posterior lower back) with cleanser, pat dry with gauze, apply antibiotic ointment, cover with border gauze foam dressings. Recommend 3 times a week dressing changes and as needed for soilage or loose dressing". There is no evidence of dressing changes being performed 3 times weekly. Patient 5: MSW telehealth visits conducted 5/16/24 & 7/18/24. No evidence found of telehealth visit orders. No evidence of patient refusal of in-person visit or request for telephone visit. Patient 8: MSW telehealth visit conducted 6/17/24. No evidence found of telehealth visit orders. No evidence of patient refusal of in-person visit or request for telephone visit.

Upon patient client record review, 1 of 14 (Patient #1) 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. Patient 1: Recert documentation dated 8/8/24 reports presence of an oxygen concentrator in home under DME. The respiratory system assessment does not support the presence of O2 in the home as "none" is selected. The plan of care contains interventions and goals related to O2 therapy however, there is no evidence of oxygen orders. It is unclear if the patient has or needs oxygen in the home.