Every finding on record at Upland Hills Hospice

Based on record review and interview, agency staff failed to develop plans of care that delineated responsibilities of care and services for performing functions in 4 of 4 patients residing in an Assisted Living Facility (ALF) or Skilled Nursing Facility (SNF) in a total of 14 patient records reviewed (Patients #2, #5, #6 and #10). --- Findings include: Review of agency policy "Care Coordination for Residents Electing Hospice Services" not dated revealed in part,"5.3 Delineation of Responsibilities: Hospice Agency determines course/level of hospice care; provides/coordinates physician services, nursing ,social work..." Review of Patients #2, #5, #6 and #10's plan of care revealed no delineation of which provider was responsible for performing each identified function.During an interview on 12/17/2025 at 12:25 PM Director A stated," I agree, it does not delineate who does what and should."