Every finding on record at Stellar Hospice and Palliative Care LLC

Upon review and observation, there was no evidence of contracts/agreements with other facilities/agencies/hospices to receive patients in the event the hospice cannot provide care to their patients during an emergency.

Upon review and observation, the Communication plan did not include the following: Names and contact information for Entities providing services under arrangement and Patients' physicians.

Upon patient record review, 2 of 7 (Patients #5 & 6) did not have evidence in the patient record that a review was completed of all prescription and non-prescription medications. Patient 5 and 6 were using Oxygen 2 LPM via nasal cannula and were not included in the medication profile.

Upon patient record review, 1 of 7 (Patient #2) did not have evidence that each patient and family received education and training provided as appropriate to their responsibilities for the care and services identified in the plan of care. Patient 2 no evidence of teaching/education to caregivers on how to assess patient's pain status and management for this patient who lives in a residential facility and was identified in the comprehensive assessment as unable to verbalize the pain.

Upon patient record review, 3 of 7 (Patient #1, 5, 6) did not have evidence the plan of care included all services necessary for the palliation and management of the terminal illness and related conditions, including medications and treatments. Patient #1 was taking Tramadol HCL 50mg and Simvastatin 20mg identified in comprehensive assessment which were not included in the plan of care. Patient 5 and 6 were using Oxygen and there was not an order for Oxygen.

Upon patient record review, 2 of 7 (Patient's #1 & 5) did not have evidence that the durable medical equipment related to the palliation and management of the terminal illness and related conditions used in the management of the patient's end of life care needs were included in the plan of care. Patient #1 plan of care did not include the walker that was identified in the comprehensive assessment completed on 5/2/23 Patient #5 plan of care did not include the wheelchair that was identified in the comprehensive assessment completed on 5/4/23

Upon client record review, 1 of 7 (Patient #7) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient 7 nurse provided care to pressure sore, there is no evidence of an order for the pressure sore.

Upon client record review, 1 of 7 (Patient #4) did not have evidence that the hospice forwarded a transfer summary and a copy of the patient record, if requested, when patient was transferred to an inpatient facility.