Every finding on record at Traditions Hospice of Woodward, LLC

Observed in Record Review. In 2 of 10 patient records reviewed, and 2/2 patients with wounds requiring measuring by organization policy the surveyor observed that wounds had not been measured weekly as required by HCO policy. The issue was discussed and confirmed with organization leadership .

Observed in Record Review. In 5 of 10 patient records reviewed, the surveyor observed issues with documentation of progress towards goals and the issue was observed with goals for all disciplines. This surveyor , together with hospice leadership looked for documented progress toward goals and found inconsistent documentation of progress toward goals as evidenced by 5/10 charts having no evidence of documented progress toward goals. The issue was discussed and confirmed with hospice leadership that stated it was an issue they had also observed same issues and had begun addressing.

Observed in Individual Tracer. In 1 of 3 home visits conducted, During home visit 1 the surveyor observed, while organization RN had been completing medication reconciliation, that the medication profile the organization had on file had not matched what the patient was actually taking or the medication bottles the patient had . For example the patient medication bottle , which the patient had been taking, lisinopril 20 mg twice a day and the organization medication profile listed lisinopril 10 mg twice a day. Further Eliquis 5 mg twice a day was on patients medication bottle, which she had been taking for months according to patient and on hospice medication profile Eliquis 5 mg was listed as a once a day medication. Lastly the patient had an expired blood pressure medication for PRN use that she had not taken since January 2023. The issue was discussed and confirmed with hospice RN on visit and with organization leadership.

Observed in Record Review. In 5 of 10 patient records reviewed, the surveyor observed that the POC goals did not have time frames for achieving goals. Goals for example: Pain managed at a level acceptable to patient no pain number given., Patient exhibits reduction of cardiopulmonary symptoms, Patients stress/anxiety reduced to a level of comfort, Patient/caregiver exhibit improved coping skills, Appropriate referrals made to deal with mental illness The issue was discussed and confirmed with hospice leadership, who stated it was an issue they also identified.