Every finding on record at US Hospice Co

Upon patient record review, 2 of 15 (Patients #7, 13) did not have evidence that 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 #7: Had a sacral wound that contained all elements of the wound care except the frequency of the dressing change. Patient #13: Had a coccyx wound that contained all elements of the wound care except for the frequency of the dressing change.

Upon patient record review, 2 of 15 (Patients #1 and #2) did not have evidence that a revised plan of care included information from the patient's updated comprehensive assessment: Patient #1: SOC 6/1/25. Both MSW and Chaplain conducted their comprehensive assessments on 6/3/25. Both narratives reflected that the patient/pcg did not wish to have any additional planned visits. However, the IDG POC dated 8/1/25 continued to include, "Spiritual Care assessment within 5 days of admission" and "MSW assessment within 5 days of admission." Patient #2: SOC 6/24/25. MSW conducted their Comprehensive assessment on 6/26/25 and the Chaplain conducted their comprehensive assessment on 6/25/25. MSW assessment notes "patient will contact hospice if desires additional SW contact" but the IDG POC dated 8/1/25 continued to include "MSW assessment within 5 days of admission." The chaplain assessment notes "planned on 1x per month future visits". However, IDG POC dated 8/1/25, continues to state "chaplain assessment within 5 days of admission."

Upon patient record review, 1 of 15 (Patient #2) did not have evidence that the IDG had ensured that all care and services were provided in accordance with the plan of care: Patient #2: The chaplain's comprehensive assessment noted "planned on 1x per month future visits." However, the clinical record did not reflect any further visits having been made.

Upon patient record review, 1 of 15 (Patient #2) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice: Patient #2: Narrative note dated 7/1/25 by RN included, "supplemental oxygen 2LPM/NC as needed for SOB." There was no other evidence in the clinical record to support the need/use of oxygen. The clinical manager confirmed that this patient did not have oxygen.

Upon patient record review, 1 of 15 (Patient #7) did not have evidence that the hospice plan of care identified the care and services that are needed, and specifically identify which provider (nursing facility or hospice) is responsible for performing the respective functions that have been agreed upon and included in the hospice plan of care: Patient #7: Patient had a sacral wound that contained all elements of the wound care except the frequency of the dressing change as well as no indication as to who was to perform the dressing changes, hospice nurse or SNF.