Every finding on record at Ventus Hospice Care Inc.

Upon patient record review, 1 of 6 (Patient #4) did not contain evidence that the Plan of Care included all services necessary for the palliation and management of the terminal illness and related conditions, including equipment and supply needs: Patient #4: The RN SOC assessment reflected that the patient had a walker. This was not included on the POC.

Upon patient record review, 1 of 6 (Patient #2) did not evidence that each patient record contains: Signed Election of Hospice Benefit Statement in accordance with 418.24. Patient #2: The EOB on file did not include: • The effective date of the election; and • The signature of the patient/representative had not been dated.

Upon patient record review, 3 of 6 (Patients #1, 2, and 4) did not contain evidence that all entries were clearly documented: Patient #1: The RN SOC assessment narrative included, "SN and Chaplain requested at this time." But also documented, "Refused Spiritual." The 12/09/24 IDG meeting notes included: 1) Spiritual Support offered and declined, under the Services Provided section; 2) Chaplain 1x per month, under the Service Type section; and 3) SN and Chaplain requested at this time, within the written Narrative section. Patient #2: The RN SOC assessment narrative included: 1) No medication in home; 2) Provided teaching on medication regime; and 3) Reconciled all existing medication. The patient had no medications, which was confirmed within the Medical Director's CTI, and Medication Profile. Patient #4: The RN SOC assessment reflected that the patient lived with his wife and son in a private home. The 12/09/24 IDG meeting notes included, "Patient lives in a Group Home."

Upon personnel record review, 4 of 11 (Personnel # 4, 5, 6, 9) did not contain evidence of a Criminal Background Check (CBC) having been obtained on all contracted individuals who have direct patient care and access to patient records, in accordance with Nevada State requirements. All of these contracted direct patient care files had evidence of a CBC having been conducted prior to the provision of patient care. However, they did not demonstrate evidence of the conduct of the required Nevada State CBC version as follows: Under Nevada Revised Statutes (NRS) 449.176 through NRS 449.188, people who have been convicted of certain crimes may not work at certain long term care facilities or agencies. The discussion here concerns the requirements of NRS 449.176 through NRS 449.188 only, and is intended as a guide only. The complete statute is available at http://leg.state.nv.us/NRS/NRS-449.html Under NRS 449, you must conduct a fingerprint-based criminal history background check on each employee and each independent contractor if you are the administrator of, or you are licensed to operate, any of the following: • Agency to provide personal care services in the home • Agency to provide nursing in the home • Facility for intermediate care • Facility for skilled nursing • Residential facility for groups • Homes for individual residential care These background checks must be conducted through the Central Repository for Nevada Records of Criminal History, an agency of the Nevada Department of Public Safety, Records and Technology Division. Even if you use another agency to conduct a preliminary criminal history check, you must conduct a background check by submitting fingerprints to the Central Repository, as required by the statute and summarized here. If your business is not one of the five types of entities listed above then you may choose to voluntarily submit fingerprints under NRS 179A.210 to obtain criminal history information with each employee's consent, but you are not authorized to have the Department of Public Safety evaluate an individual's criminal history under NRS 449. NRS 449.123 applies to every employee or independent contractor, including the administrator and the person licensed to operate the agency or facility, regardless of whether the individual provides direct patient care. You must conduct the background check in addition to any other fingerprint-based criminal history background check that the individual may have already undergone, such as to obtain a professional license, including a nursing license or a long term care administrator license. (See Special Notices below.) The statute does not apply to a volunteer. The statute does not apply to an individual that is not hired by you or your licensed entity but rather is hired directly by a resident at your licensed entity.

Upon personnel record review, 5 of 11 (Personnel #2, 3, 7, 8, 10) did not contain evidence of a Criminal Background Check (CBC) having been obtained in accordance with Nevada State requirements. All of these direct patient care employee files had evidence of a CBC having been conducted prior to the provision of patient care. However, they did not demonstrate evidence of the conduct of the required Nevada State CBC version as follows: Under Nevada Revised Statutes (NRS) 449.176 through NRS 449.188, people who have been convicted of certain crimes may not work at certain long term care facilities or agencies. The discussion here concerns the requirements of NRS 449.176 through NRS 449.188 only, and is intended as a guide only. The complete statute is available at http://leg.state.nv.us/NRS/NRS-449.html Under NRS 449, you must conduct a fingerprint-based criminal history background check on each employee and each independent contractor if you are the administrator of, or you are licensed to operate, any of the following: • Agency to provide personal care services in the home • Agency to provide nursing in the home • Facility for intermediate care • Facility for skilled nursing • Residential facility for groups • Homes for individual residential care These background checks must be conducted through the Central Repository for Nevada Records of Criminal History, an agency of the Nevada Department of Public Safety, Records and Technology Division. Even if you use another agency to conduct a preliminary criminal history check, you must conduct a background check by submitting fingerprints to the Central Repository, as required by the statute and summarized here. If your business is not one of the five types of entities listed above then you may choose to voluntarily submit fingerprints under NRS 179A.210 to obtain criminal history information with each employee's consent, but you are not authorized to have the Department of Public Safety evaluate an individual's criminal history under NRS 449. NRS 449.123 applies to every employee or independent contractor, including the administrator and the person licensed to operate the agency or facility, regardless of whether the individual provides direct patient care. You must conduct the background check in addition to any other fingerprint-based criminal history background check that the individual may have already undergone, such as to obtain a professional license, including a nursing license or a long term care administrator license. (See Special Notices below.) The statute does not apply to a volunteer. The statute does not apply to an individual that is not hired by you or your licensed entity but rather is hired directly by a resident at your licensed entity.