Every finding on record at Vitamed Hospice Inc

Upon patient record review, 1 of 14 (Patient #2) did not have evidence in the patient record that the hospice has developed an individualized written plan of care for each patient. The plan of care must reflect patient/family goals and interventions based on the problems identified in the initial, comprehensive, and updated comprehensive assessments. The plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions. Patient 2: Oxygen safety goal is present on the plan of care but there are no interventions.

Upon patient record review, 3 of 14 (Patient #2, 12, 14) 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 2: Documentation reveals use of bed, over bed table, and wheelchair. These items are not found on the plan of care. Patient 12: Documentation reveals use of bed and Oxygen e-tank. These items are not found on the plan of care. Patient 14: Documentation reveals use of bed, Oxygen, and e-tank. These items are not found on the plan of care.

Upon client record review, 1 of 14 (Patient #13) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient 13: Spiritual Care initial assessment was completed via telehealth on 5/6/24. The plan of care does not contain approval for telehealth visits.

Upon patient record review 1 of 14 (Patient #13) did not have evidence documentation in the patient record that a hospice aide provides services that are: • Ordered by the interdisciplinary group • Included in the plan of care • Permitted to be performed under state law by such hospice aide • Consistent with the hospice aide training Patient 13: Aide visit missed week of 12/24/23. No evidence of change in frequency or visit refusal by patient/caregiver.

Upon client record review, 1 of 14 (Patient #10) did not have evidence that if a patient revokes the election of hospice care or is discharged from hospice in accordance with §418.26, the hospice must forward to the patient's attending physician: • A copy of the hospice discharge summary • The patient's clinical record, if requested Patient 10: No evidence found of discharge summary sent to attending MD.