Every finding on record at Valiant Hospice Care Inc

Upon patient record review, 1 of 14 (Patient #3) did not have evidence that each patient and family received education and training provided as appropriate to their responsibilities for the care and services identified in the plan of care. Pt #3: No evidence found related to medication instructions for Clonidine 0.1mg po daily as needed for SBP >160mmHg or for proper procedure and ability to obtain blood pressure.

Upon patient record review, 14 of 14 (Patient #1-14) did not have evidence the plan of care must includes all services necessary for the palliation and management of the terminal illness and related conditions, including the following: • A detailed statement of the scope and frequency of services necessary to meet the specific patient and family needs • The IDG demonstrates a proactive approach in developing each patient's plan of care by planning ahead for anticipated patient changes and needs. Decisions should reflect the patient/family preferences rather than be solely a response to a crisis. Pts 1-14: No evidence found of MSW individualization of POC frequency to meet patient and/or family/CG needs. All frequency for MSW are "will evaluate within 5 days, at recert, and PRN 1-2 month for crisis management".

Upon patient record review 1 of 14 (Patient #6) did not have evidence in the patient record that the hospice aides report: • Changes in the patient's medical, nursing, rehabilitative, and social needs to a registered nurse, as the changes relate to the plan of care and quality assessment and improvement activities • Hospice aides must also complete appropriate records in compliance with the hospice's policies and procedures Pt. #6: No evidence found of RN notification of DBP > set parameters present on aide instructions for visit dates 2/9/24 & 2/23/24.