Every finding on record at Selective Care Hospice, Inc.

Upon patient record review, 4 of 14 (Patient #7,8,9,10) 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 #7, 8, 9, No evidence of goals and interventions identified for full code status. Patient #10, No evidence of goals and interventions identified for lack of funeral home arrangements.

Upon client record review, 3 of 14 (Patient #3,5,6) did not have evidence that the IDG in collaboration with the attending physician reviewed, revised and documents the individualized plan as frequently as the patient's condition requires but no less frequently then every 15 calendar days. Patient #3, No evidence of SC signature or participation in IDG meeting on 12/22/25. Patient #5, No evidence of SC and MSW signature or participation in IDG meeting on 12/12/25. Patient #6, No evidence of SC signature or participation in IDG meeting on 12/22/25.

Upon patient record review, 1 of 5 (Patient #3) 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 equipment and supply needs. Patient #3: This patient had a bed with side rails and over-bed table. These items were not included on the Plan of Care.

Upon patient record review, 1 of 5 (Patient #4) did not have evidence that the IDG in collaboration with the attending physician reviewed, revised and documents the individualized plan as frequently as the patient's condition requires but no less frequently then every 15 calendar days. Patient 4: The first IDG meeting was held on 11-22-22. The patient had order for IDG every 14 days on POC. The next IDG meeting was held 12-8-22. The IDG frequency was not met within designated time frame.