Every finding on record at Steadfast Hospice LLC

Upon patient record review, 1 of 14 (Patient #1) 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 #1 Medication orders as follows: Prednisolone 5mg tab "as directed" with no further instructions and Alvesco inhaler, 160mg, 1 puff as needed 2x daily (no indication for use). These were corrected immediately by RN.

Upon personnel record review, 1 of 14 (Personnel #6) did not have evidence in the personnel file that the following competency assessment was performed by the aide with a patient: (This standard applies to all Hospice Aides providing care/service who are directly employed by the hospice or through a contractual agreement. ·Appropriate and safe techniques in personal hygiene and grooming that include- ·(B) Sponge, tub, and shower bath ·(C) Shampoo, sink, tub, and bed The other subject areas in this section may be evaluated through written examination, oral examination or after observation of a Hospice Aide with a patient. Personnel #6 competency did not include "Sponge" bath. The "shampoo" competency did not state "in sink, tub, and bed".

Upon patient record review, 1 of 14 (Patient #1) did not have evidence that each patient record contains: the Election Addendum. Patient #1 elected to receive the Hospice Non-Covered Items, services, and drugs addendum upon admission on 03/01/25. There was no evidence of this form being provided to patient at time of survey. The form was completed and being taken to patient on 3/7/25 per Administrator.