Every finding on record at Shelter Hospice Inc

Hospice care and services provided to patients and families follow the individualized plan of care established by the hospice interdisciplinary group (IDG) in collaboration with the attending physician if any. This standard was not met as evidenced by a review of clinical records and interviews.1 of 11 (9%) records reviewed, it was revealed the agency did not ensure the Social Worker (SW) followed the individualized Plan of Care (POC) established by the hospice IDG in collaboration with the attending physician. Record 11: The IDG care plan and IDG updates for 5/4/22 and 5/18/22 note identified the SW frequency was 1x/month. There was no visit made in the month of May 2022 and no documentation in the social worker notes, communication notes, or IDG updates as to why the visit was not made, and/or no changes made to the POC. During an interview with the Director of Nursing on 2/16/23 it was agreed the POC was not followed.

It is required that a hospice aide provides services ordered by the Interdisciplinary Group and included in the plan of care (POC). This standard was not met as evidenced by a review of clinical records and interviews. 1 of 7 (14%) records reviewed, revealed the hospice agency did not ensure the aide followed the visit frequency in the hospice POC as ordered by the Interdisciplinary Group. Record 4: The Registered Nurse (RN) obtained orders on 9/9/22 for aide services for 1 time weekly to be done on Fridays. There were no aide visits made week of 9/11 and 9/18 and there was no documented evidence in notes or IDG why the visits weren't made. During an interview with the Director of Nursing on 2/15/23 it was agreed the aide visits were not made and there was no documentation found in the patient's records as to why the visits weren't made.