Live Well Hospice, LLC

“Based on record review and interview, the hospice failed to ensure the plan of care included all services necessary for the palliation and management of their hospice diagnosis for five (Pt #1, 3, 9, 11, and 13) of nineteen patients. Findings: Pt #1A plan of care dated 01/20/26 to 03/26/26 failed to include interventions for the diagnosis of Aneurysm of other specified arteries. Pt #3 A plan of care dated 02/02/2 6 to 05/02/26 failed to include interventions for the diagnosis of hypertensive heart and chronic kidney disease with heart failure Stage 1-4/unspecified. Pt #9A plan of care dated 05/18/26 to 08/15/26 failed to include interventions for the diagnosis of hypertensive heart and chronic kidney disease without heart failure. Pt #11A plan of care dated 05/13/26 to 08/10/26 failed to include interventions for the diagnosis of B-cell lymphoma. Pt #13A plan of care dated 05/20/26 to 08/17/26 failed to include interventions for the diagnosis of malignant neoplasm of prostate. On 06/04/26 at 2:20 pm, Staff A stated the plan of cares did not include goals or interventions for the hospice diagnosis for Pt #1, 3, 9, 11, and 13.”

“Based on record review and interview, the hospice failed to ensure wound assessments were completed as ordered for one (Pt #8) of two wound care patients. Findings: Pt #8A review of a plan of care dated 05/15/26 to 08/12/26 the plan of care showed orders to assess coccyx and excoriated areas each visit. A nurse note dated 05/19/26 documented a stage II pressure ulcer to left inner buttock with a new order apply chamosyn w/mannuka honey topically to left inner buttock every shift and following each incontinent episode. A nurse note dated 05/21/26 documented skin intact (pressure ulcer was not documented healed) , no information regarding an assessment of the coccyx or any wound care. A nurse note dated 05/22/26 showed a prn visit for wound care stage II pressure ulcer to left inner gluteal fold measuring 6.5 cm x 1.5 cm x 0. New orders obtained to cleanse wound to left inner gluteal fold w/wound cleanser and pat dry with gauze, apply a thin layer of dynarex gel with honey and cover with bordered proximal dressing three times per week and as needed, On 06/04/26 at 2:16 pm, Staff A stated:1. Wound assessment and care were not completed 05/21/26.2. The nurse no longer works here.”

“Based on record review and interview, the hospice failed to ensure volunteers provided services that equaled 5% of the total patient care hours of all paid hospice employees for 2024 and 2025 for all patients and staff. Findings: A request for volunteer records and hours for Calendar year 2024 and 2025. The monthly volunteer hours for January 2024 to April 2026 are as follows: January 2024 - 1.12%February 2024 - 5.07%March 2024 - 4.5%April 2024 - 2.17%May 2024 - 2.58%June 2024 - 3.08%July 2024 - 2.76%August 2024 - 1.75%September 2024 - 2.70%October 2024 - 1.70%November 2024 0.42%December 2024 1.70%Yearly total = 2.46% January 2025 - 1.64%February 2025 - 0.52%March 2025 - 0.35%April 2025 - 1.13%May 2025 - 0.88%.June 2025 - 1.06%July 2025 - 1.63%August 2025 - 1.12%September 2025 - 1.86%October 2025 - 1%November 2025 - 4.20%December 2025 - 6%Yearly total = 1.78January 2026 - 0.96%February 2026 - 0.32%March 2026 - 0.46%April 2026 - 2.6% On 06/04/26 at 10:28 am, Staff N stated the volunteer required hours have not been met.”

“Based on record review and interview, the hospice failed to:1. Approve the annual budget for all patients and staff.2. Create policies for all patients and staff. Findings: A review of administrative records showed no governing body approval of an annual budget for Calendar years 2024 and 2025. The request for infection control policy, TB policy, and catheter policy yielded no results. On 06/04/26 at 11:20 am, Staff B stated the governing body minutes for Calendar years 2024 and 2025 did no show approval of an annual budget. On 06/04/26 at 3:00 pm, Staff E stated they do not have policies on infection control, TB, and catheters.”

“Based on record review and interview, the agency failed to ensure personnel records included orientation to hospice philosophy for six (Staff G, H, I, J, K and M) of seven personnel. Findings:Staff GA review of the personnel record showed no orientation to the hospice philosophy. Staff HA review of the personnel record showed no orientation to the hospice philosophy. Staff IA review of the personnel record showed no orientation to the hospice philosophy. Staff JA review of the personnel record showed no orientation to the hospice philosophy. Staff KA review of the personnel record showed no orientation to the hospice philosophy. Staff MA review of the personnel record showed no orientation to the hospice philosophy. On 06/04/26 at 1:11 p.m., Staff A stated the personnel files for Staff G, H, I, J, K and M had no documentation of orientation to the hospice philosophy.”