Every finding on record at Statewide Hospice Inc

Upon patient record review, 1 of 14 records reviewed (Patient #4) 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 #4: The endocrine care plan was not individualized with patient and family goals and interventions based on the problem. The interventions did not include who would check the blood sugar, how often to check the blood sugar and what signs and symptoms of hypoglycemia and hyperglycemia the patient/caregiver should report to the hospice nurse. COS.

Upon patient record review, 1 of 14 records reviewed (Patient #10) 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 medications and treatments. Patient #10: The record indicated the patient was getting vanilla Ensure, there was no order to include how much Ensure the patient needed per day. COS.