Every finding on record at Selective Hospice, Inc

Upon patient record review 1 of 14 (Patient #5) 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 5: No initial spiritual assessment found

Upon patient record review, 1 of 14 (Patient #5) did not have evidence in the patient record that the comprehensive assessment includes a bereavement component which includes the needs of the patient's family and other individuals focusing on the social, spiritual, and cultural factors that may impact their ability to cope with the patient's death. Information gathered from the initial bereavement assessment is incorporated into the plan of care and is considered in the bereavement plan of care. Patient 5: No evidence of initial bereavement assessment being completed.

Upon patient record review, 1 of 14 (Patient #5) did not have evidence in the patient record that the comprehensive assessment is updated including and by: • The hospice interdisciplinary group (in collaboration with the individual's attending physician, if any) • Changes that have taken place since the initial assessment • Information on the patient's progress toward desired outcomes • Reassessment of the patient's response to care • The assessment update must be accomplished as frequently as the condition of the patient requires, but no less frequently than every 15 days Patient 5: No RN visit made from 6/11/24-7/29/24.

Upon client record review, 3 of 14 (Patient #4, 9, 11) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient 4: LVN frequency once weekly per plan of care. No evidence of LVN visit completed the weeks of 8/11/24 and 8/25/24. Patient 9: Spiritual care services once monthly per plan of care. No evidence of monthly visit for June or August of 2024. Patient 11: LVN frequency once weekly per plan of care. No evidence of LVN visit completed the weeks of 7/11/24, 7/21/24, 8/4/24, and 8/18/24.

Upon patient record review, 1 of 5 (Patient #5) 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 #5 Start of care assessed need for HHA to assist with personal cares. No evidence of plan of care for patient requiring assistance with personal cares.