Every finding on record at Vivo Hospice Inc.

Upon patient record review, 1 of 14 (Patient #1) did not have evidence in the patient record that hospice aide assignments and duties are: • Assigned to a specific patient by a registered nurse that is a member of the interdisciplinary group • Written patient care instructions for a hospice aide must be prepared by a Registered Nurse who is responsible for the supervision of a hospice aide as specified under paragraph (h) of 418.76 • There is evidence in the patient record that the plan of care; indicate what tasks are to be done by the Aide and the frequency of these tasks. The use of “PRN” or “per patient choice”, for any task, whether personal care or non-personal care tasks, are not acceptable 1-The Aide Plan of Care had two methods of bathing assigned by the RN.

Upon patient record review 3 of 14 (Patient #1, #9, #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 1-The Aide Plan of Care had two methods of bathing assigned by the RN - bed bath and shower. The CHHA marked both bathing choices as being completed. 9-The Aide Plan of Care had one method of bathing assigned by the RN - shower. The CHHA marked two bathing options as being completed - partial bed bath and shower. 13-The Aide Plan of Care had one method of bathing assigned by the RN - shower. The CHHA marked two bathing options as being completed - partial bed bath and shower.