Capital Hospice & Palliative Care LLC

“It is required that a hospice aide provide services: Ordered by the Interdisciplinary Group This standard was not met as evidenced by clinical record review and interview. In 1 of 19 (5%) clinical records reviewed of patients with hospice aide services it was revealed that the agency did not ensure the hospice aide services were provided as ordered by the Interdisciplinary Group. CLINICAL RECORD 6: The patient elected the hospice benefit on 02/23/2026. The aide care plan dated 02/23/2026 documented orders for a shower three (3) times per week. The Hospice Aide visit notes dated 03/10/2026 and 03/12/2026 documented that a bed bath was given and notified the Registered Nurse (RN). The clinical record did not provide evidence that the aide’s plan of care was updated to include aide services for a bed bath. During a joint record review and interview with the Administrator (Personnel Record 2) and the Clinical Director (Personnel Record 3) on 07/30/2026, the Administrator and Clinical Director confirmed there was no documented evidence that the Aide’s plan of care had been reviewed, revised, or updated by the RN/Interdisciplinary Group, in collaboration with the individual’s attending physician.”

“It is required that the designated IDG member provide the SNF/NF or ICF/IID with the following information for each patient/resident: The most recent hospice plan of care; Physician certification and recertification of the terminal illness; and hospice medication information. This standard was not met as evidenced by clinical record review, document review and interview. In 1 of 19 (5%) clinical records reviewed it was revealed that the agency did not ensure the designated IDG member provided the SNF with the most recent hospice plan of care, physician certification and recertification of the terminal illness, and hospice medication information. HOME VISIT 3/CLINICAL RECORD 4: The patient elected the hospice benefit on 04/07/2026. Review of the patient’s hospice binder during a home visit at the Skilled Nursing Facility (SNF) on 07/28/2026 revealed that there was no documented evidence of the most recent hospice plan of care, physician recertification of the terminal illness, and hospice medication information. During a joint record review and interview on 07/29/2026, the Administrator (Personnel Record 2) and the Clinical Director (Personnel Record 3) confirmed that the patient’s most recent hospice plan of care, physician recertification of the terminal illness, and hospice medication information were not provided and placed in the patient’s hospice binder in the Skilled Nursing Facility (SNF).”

“It is required that the designated IDG member provide the SNF/NF or ICF/IID with the following information for each patient/resident: The most recent hospice plan of care; Physician certification and recertification of the terminal illness; and hospice medication information. This standard was not met as evidenced by clinical record review, document review and interview. In 1 of 19 (5%) clinical records reviewed it was revealed that the agency did not ensure the designated IDG member provided the SNF with the most recent hospice plan of care, physician certification and recertification of the terminal illness, and hospice medication information. HOME VISIT 3/CLINICAL RECORD 4: The patient elected the hospice benefit on 04/07/2026. Review of the patient’s hospice binder during a home visit at the Skilled Nursing Facility (SNF) on 07/28/2026 revealed that there was no documented evidence of the most recent hospice plan of care, physician recertification of the terminal illness, and hospice medication information. During a joint record review and interview on 07/29/2026, the Administrator (Personnel Record 2) and the Clinical Director (Personnel Record 3) confirmed that the patient’s most recent hospice plan of care, physician recertification of the terminal illness, and hospice medication information were not provided and placed in the patient’s hospice binder in the Skilled Nursing Facility (SNF).”

“It is required that the designated IDG member provide the SNF/NF or ICF/IID with the following information for each patient/resident: The most recent hospice plan of care; Physician certification and recertification of the terminal illness; and hospice medication information. This standard was not met as evidenced by clinical record review, document review and interview. In 1 of 19 (5%) clinical records reviewed it was revealed that the agency did not ensure the designated IDG member provided the SNF with the most recent hospice plan of care, physician certification and recertification of the terminal illness, and hospice medication information. HOME VISIT 3/CLINICAL RECORD 4: The patient elected the hospice benefit on 04/07/2026. Review of the patient’s hospice binder during a home visit at the Skilled Nursing Facility (SNF) on 07/28/2026 revealed that there was no documented evidence of the most recent hospice plan of care, physician recertification of the terminal illness, and hospice medication information. During a joint record review and interview on 07/29/2026, the Administrator (Personnel Record 2) and the Clinical Director (Personnel Record 3) confirmed that the patient’s most recent hospice plan of care, physician recertification of the terminal illness, and hospice medication information were not provided and placed in the patient’s hospice binder in the Skilled Nursing Facility (SNF).”