Every finding on record at Tulip Hospice Inc

Upon patient record review, 2 of 14 (Patient #2,#5) 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 #2: Comprehensive assessment by the RN indicates patient has a poor appetite consuming 25% of meals. No evidence of problems, goals, or interventions addressing this on the plan of care. Patient #5: The nursing documentation on the IDG review dated 8/4/23 by the RN indicates patient has a poor appetite consuming 30% of meals. No evidence of problems, goals, or interventions addressing this on the plan of care.

Upon patient client record review, 14 of 14 (Patient #14) did not have evidence that each patient record contains: • Signed copies of the notice of patient rights in accordance with 418.52 • Signed election statement in accordance with 418.24 Patients #1,#2,#3,#4,#5,#6,#7,#8,#9,#10,#11,#12,#13,#14: The Election of Benefit (EOB) form has a section for "The right to request Patient Notification of Hospice Non Covered Items, Services, and Drugs" which does not indicate the patient's choice to "elect" or "decline" the notification is selected.