Every finding on record at Tyrone Hospice Care Inc

Upon patient record review, 1 of 5 (Patient #4) 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 equipment and supply needs. Patient 4: Treatment orders are present for the utilization of oxygen and oxygen is listed on the medication list; however, no equipment related to oxygen is included on the plan of care.

Upon patient record review, 1 of 1 applicable (Patient #4) did not have evidence in the patient record that hospice aide assignments and duties are: • There is evidence in the patient record that the plan of care; indicate what tasks are to be done by the Aide and the frequency of these tasks. The use of “PRN” or “per patient choice”, for any task, whether personal care or non-personal care tasks, are not acceptable Patient 4: The hospice aide care plan, dated 12.15.2021, did not specify the frequency of the the tasks the aide was to perform. The patient required a shower, shampoo, and shave.

Upon patient client record review, 3 of 5 (Patient #1, 4, 5) did not have evidence that each patient record contains: • Signed election statement in accordance with 418.24 Patient 1: The hospice election statement, dated 01.07.2022, was not marked to indicate whether the patient wished to receive or declined receipt of the addendum of noncovered items & services. The hospice is required to inform the patient, in writing, of any noncovered items & services. Patient 4, 5: The hospice election statements did not include language related to the addendum of noncovered items & services, the timeframes for the hospice to provide written addendum statements to the patients or their caregivers, or the contact information for the BFCC-QIO to file an appeal.