Every finding on record at Solid Care Hospice and Palliative Services Inc

Upon patient record review, 1 of 14 (Patient #6) 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 #6, No evidence of bereavement assessment completed. SC documented patient declined bereavement services.

Upon patient record review, 7 of 14 (Patient #1,2,3,8,12,13,14) 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 #1, No evidence of DME on plan of care, patient has hospital bed. Patient #2,3, No evidence of DME on plan of care, patient has walker and cane. Patient #8, No evidence of DME on plan of care, patient has bed, mattress and commode documented on RN assessment. Patient #12, No evidence of DME on plan of care, patient has walker and wheelchair. Patient #13,14, No evidence of DME on plan of care, patient has walker.

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, The aide documented the date for the BM 04/01/24 however, failed to check the box on agency form.