Corinth Rehabilitation Suites on the Parkway

Inspectors wroteBased on observation, interview and record review the facility failed to ensure that the resident environment remained free of accident hazards and each resident received adequate supervision for 1 of 3 residents (Resident #1) reviewed for accidents and hazards. The facility did not implement interventions per the Speech Therapist and the Nurse Practitioner when they did not provide recommendations of occasional supervision, upright posture during meals and upright posture for greater than 30 minutes after meals for Resident #1 on 3/7/26 after a choking incident. The facility failed to implement the interventions of occasional supervision, upright posture during meals and upright posture for greater than 30 minutes after meals recommended by the speech therapy to help prevent choking episodes for Resident #1 after she was discharged from speech therapy. [...]

Inspectors wroteBased on observations, interviews and record review, the facility failed to ensure resident rooms were adequately equipped to allow residents to call for staff assistance through a communication system which relays the call directly to a staff member or to a centralized staff work area for 1 of 1 centralized staff work area reviewed for resident call system. The facility failed to ensure they had a working call light system that was audible at the centralized staff work area (nurses' station). This failure could place residents at risk of being unable to obtain assistance for activities of daily living or in the event of an emergency. During an observation and interview on 04/16/26 at 8:05 a.m., Resident # 6 was heard yelling I need help to get up, I need help. The call light was illuminated but no audible sound was heard. [...]

Inspectors wroteBased on observation, interview, and record review the facility failed to have Physician Orders for the resident's immediate care for one of two (Resident #1) reviewed for resident assessments. The facility failed to have Physician orders for the care and treatment for Resident #1's foley catheter, colostomy, and wound care orders upon his readmission to the facility on [DATE]. This failure could place resident at risk for not receiving appropriate care and treatment services.

Inspectors wroteBased on interview and record review, the facility failed to provide pharmaceutical services including procedures that assure the accurate acquiring and administering of all medications to meet the needs of each resident for one of four (Residents #4) reviewed for pharmacy services. 1. The facility failed to ensure Resident #4 was free from abuse when ADON E knowingly placed the following medications on hold without a physician's order: Resident #4's Latanoprost 0.005% eye drops prescribed for once per day, on hold from [DATE] until [DATE], 25 doses were missed.2. Resident #4's Dorzolamide 2% eye drops prescribed for two time a day, on hold from [DATE] until [DATE], 47 doses were missed. 3. The facility failed to ensure MA H cleared Resident #4's nasal passages before the administration of Fluticasone Nasal Spray. [...]

Inspectors wroteBased on interview and record review, the facility failed to ensure residents were free from any significant medication errors for one (Resident #4) of 13 residents reviewed for significant medication errors. The facility failed to ensure Resident #4 was free from significant medication errors when the following were placed on hold:-Latanoprost 0.005% eye drops prescribed for once per day on hold without physician's order on [DATE] until [DATE], 25 doses were missed.-Dorzolamide 2% eye drops prescribed for two times a day on hold without physician's order on [DATE] until [DATE], 47 doses were missed. This failure had the potential to place residents at risk for not receiving the therapeutic benefits from their medication. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for two of seven (Resident #5 and Resident #6) residents observed for infection control. 1. The facility failed to ensure the Treatment Nurse performed hand hygiene during wound care for Resident #5 on 04/15/26. 2. The facility failed to ensure LVN L utilized Enhanced Barrier Precautions while transferring Resident #6 from bed to wheelchair and wheelchair to toilet on 04/16/26 and failed to perform hand hygiene before leaving the room. These failures could place residents at risk for infection and cross contamination.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the comprehensive care plan described the services that were to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for two of six (Residents #1 and #2) reviewed for comprehensive care plans. 1. The facility failed to include, in the care plan for Resident #1 created on 03/18/26, and revised on 04/15/26, the colostomy and the necessary care and interventions. 2. The facility failed to include, in the care plan for Resident #2 last revised on 04/06/26, the midline catheter inserted on 03/27/26, and the necessary care and interventions. [...]

Inspectors wroteBased on interviews, and record review, the facility failed to ensure residents received parenteral fluids administered consistent with professional standards of practice and in accordance with physician orders for one of two residents (Resident #2) reviewed for peripheral intravenous care. 1. The facility failed to ensure Agency LVN K obtained physician's orders for the removal of Resident #2's midline intravenous catheter on 04/04/26. 2. The facility failed to document the removal of Resident #2's midline catheter on 04/04/26. These failures placed the resident at risk of ensuring the midline was removed properly and intact which could lead to infection and embolism, and communicated with oncoming staff for further monitoring.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure all drugs and biological were stored in locked compartments for 1 of 5 (100 Hall nurse medication cart) medication carts reviewed for medication storage:The facility failed to ensure all medication including insulin pen were not left unsecure and unattended on the 100 hall nurse medication cart. This failure could place residents at risk of having access to unauthorized medications and/or lead to adverse drug reactions or drug diversions.

Inspectors wroteBased on observation, interview and record review, the facility failed to maintain medical records on each resident in accordance with accepted professional standards and practices that are complete, accurately documented and systematically organized for two of four (Resident #1 and Resident #2) reviewed for clinical documentation. 1. The facility failed to ensure staff documented Resident # 1's wound care on the MAR/TAR, that was provided or declined, from 04/11/26 through 04/14/26.2. The facility failed to ensure Resident #2's foley catheter physician order reflected the foley catheter size, the amount required for the [NAME], and the rationale for its use. This failure could place residents at risk of not receiving treatments as ordered which could impact the residents' health and recovery.

Inspectors wroteBased on interview, and record review, the facility failed to provide pharmaceutical services, including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals, to meet the needs of each resident for 1 (Medication Cart Hall 100) of 4 medication carts reviewed for pharmacy services. The facility failed to ensure Licensed Vocational Nurse A counted controlled drugs every change of shift and signed the medication sheet form after the count while she was responsible for the Medication Cart on Hall 100. The failure could place residents at risk of not having the medication available due to possible drug diversion. [...]

Inspectors wroteBased on interview, and record review, the facility failed to administer medications according to physician's orders for 1 of 4 residents (Resident #1) reviewed for medications. The facility failed to follow Physician D's order by applying a second Lidocaine patch by accident to Resident #1. This failure could place residents at risk of harm by not receiving their medication as instructed by physician.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide the necessary services for residents who are unable to carry out activities of daily living to maintain good grooming and personal hygiene for 1 (Resident#1) of 9 residents reviewed for ADLs. The facility failed to ensure Resident #1 had facial hair on her chin removed on 01/07/2026. This failure could place residents who were dependent on staff for ADL care at risk for loss of dignity, risk for infections and a decreased quality of life.

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 9 residents (Resident #2) reviewed for infection control. The facility failed to ensure CNA C changed gloves and performed hand hygiene while providing incontinence care to Resident #2. This failure could place residents at risk for infection and cross contamination.

Inspectors wroteBased on observation, interview and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 2 (Resident #1 and Resident #2) of 6 residents reviewed for infection control. The facility failed to ensure: LPN A and CNA C wore appropriate PPE when transferring Resident #1 on EBP isolation from bed to wheelchair on 11/04/25. CNA B wore appropriate PPE, and performed proper hand hygiene between gloves change during incontinent care for Resident #2 on 11/04/25. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure in response to allegations of abuse, neglect, exploitation, or mistreatment, all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, are reported immediately, but not later than 2 hours after the allegation is made, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the administrator of the facility and to other officials (including to the State Survey Agency and adult protective services where state law provides for jurisdiction in long-term care facilities) in accordance with State law through established procedures. for 1 of 5 residents (Resident #1) reviewed for abuse/neglect. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that in response to allegations of abuse, neglect, exploitation, or mistreatment, the facility had evidence that all alleged violations were thoroughly investigated for 1 of 5 residents (Resident #1) reviewed for abuse/neglect. The facility failed to ensure they investigated an allegation of neglect for Resident #1. Resident #1 fell and had to call EMS to help him get off the floor on 08/10/25. This failure could place residents at risk for not having their allegations for neglect investigated which could lead to additional neglect.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 5 residents (Resident #1) reviewed for accident hazards. The facility failed to provide adequate supervision for Resident #1. Resident #1 fell and had to call EMS to help him get off the floor on 08/10/25. This failure could place residents at risk for injury for not having adequate supervision.

Inspectors wroteBased on observation, interview, and record review the facility failed to provide the necessary services for residents who are unable to carry out activities of daily living to maintain good grooming and personal hygiene for 5 (Resident #20, Resident #59, Resident #51, Resident # , Resident #13 ) of 16 residents reviewed for ADLs. The facility failed to ensure: 1- Resident #59 had her fingernails cleaned and trimmed on 5/28/25. 2- Resident #20 had her fingernails cleaned and trimmed on 5/28/25. 3- Resident #51 had his nails trimmed and cleaned on both hands on 05/28/25. 4- Resident #13 had her fingernails trimmed. 5- Staff provided consistent showers/baths for Resident #21. These failures could place residents who were dependent on staff for ADL care at risk for loss of dignity, risk for infections and a decreased quality of life.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident who was incontinent of bladder received appropriate treatment and services to prevent urinary tract infections for one (Resident #31) of two residents reviewed for incontinence care. The facility failed to ensure CNA C provided timely and appropriate perineal care for Resident #31. This failure could place residents at risk for the development and/or worsening of urinary tract infections and skin breakdown.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide pharmaceutical services, including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals, to meet the needs of each resident for 2 (Hall 200 and 300) of 4 medication carts reviewed for pharmacy services. The facility failed to ensure: RN E responsible for Medication Cart Hall 200, counted controlled drugs every change of shift and singed the narcotic sheet form after the count. RN D responsible for Medication Cart Hall 300, counted controlled drugs every change of shift and singed the narcotic sheet form after the count. These failures could place residents at risk of not having the medication available due to possible drug diversion. Findings Included: [...]

Inspectors wroteBased on observations, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for the facility's only kitchen. The facility failed to ensure food items in the facility reach in refrigerator were dated, labeled, and covered. These failures could affect residents who received their meals from the facility's only kitchen, by placing them at risk for food-borne illness, and food contamination.

Inspectors wroteBased on observation, interview and record review, the facility failed to maintain an infection control program designed to prevent the development and transmission of infection for 3 resident (Resident #1 and Resident #11, and Resident #44) of 10 residents observed for infection control. 1-The facility failed to ensure MA A disinfected the blood pressure cuff in between blood pressure checks for Resident #1 and Resident #11 on 05/28/25. 2- The facility failed to ensure CNA J and CNA K performed proper hand hygiene when changing gloves during morning care for Resident #44 05/29/25. 3- The facility failed to ensure CNA J and agency CNA K wore appropriate PPE when providing morning care for Resident #44 who supposed to be on EBP on 05/29/25. The failures could place residents at-risk of cross contamination which could result in infections or illness.

Inspectors wroteBased on record review and interviews, the facility failed to ensure completion of a discharge summary including a recapitulation of the resident's stay, and final status at discharge for two residents (Resident #69 and Resident #170) of five residents reviewed for discharge summary. The facility failed to complete a discharge summary for Resident #69 and Resident #170. This failure could place residents at risk of not having complete records after permanent discharge from the facility and disruption in the continuity of care.

Inspectors wroteBased on interview and record review, the facility failed ensure residents receive treatment and care in accordance with professional standards of practice for one of twenty-four residents (Resident #45) reviewed for falls. The facility failed to follow the facility policy and did not promptly notify Resident #45's physician about a fall incident that occurred on 05/12/25 at 8:32 am. This failure could place residents at risk for a delay in treatment and diagnosis of new symptoms resulting in serious illness, hospitalization, and further decline in the resident's condition,.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that a resident who needs respiratory care was provided such care, consistent with professional standards of practice for 1 of 2 (Resident #221) residents reviewed for respiratory care, in that: The facility failed to ensure Resident #221's Oxygen humidification bottle and nasal cannula tubing was changed in a timely manner. This failure could place residents at risk for respiratory infection and not having their respiratory needs met.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the residents' right to privacy during administering medication for 1 of 2 residents (Residents #2) reviewed for privacy in that: The facility failed to ensure LVN A provided privacy by closing the door and privacy curtain for Resident #2 on 1/1/25. This failure could place residents at risk of diminished quality of life.

Inspectors wroteBased on interview and record review the facility failed to have evidence that all alleged violations were thoroughly investigated and measures were taken to prevent further potential abuse, neglect, exploitation or mistreatment in accordance with State law, including to the State Survey Agency, and report the results within 5 working days of the incident, and if the alleged violation is verified appropriate, corrective action must have been taken for 1 of 5 residents (Resident #1) reviewed for neglect. The facility failed to report findings to the state agency within five days for an allegation of neglect made on 1/2/25. This failure placed residents at risk of not having their allegations investigated or reviewed timely by the state survey agency.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that based on the comprehensive assessment of a resident, the residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for one (Resident #1) of three residents reviewed for quality of care. LVN A failed to complete fall assessment after Resident #1 had a witnessed fall in the facility on 1/1/25. This failure could place residents at risk for injuries related to falls. The noncompliance was identified as Past Noncompliance (PNC). The noncompliance began on 01/1/25 at 8:13 PM and ended on 01/02/25. The facility had corrected the noncompliance before the Incident investigation began.

Inspectors wroteBased on observation, interview and record review, the facility failed to maintain an Infection Prevention and Control Program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for two (Residents #1 and Resident #2) of three residents reviewed for infection control. 1. LVN A failed to perform hand hygiene and changed gloves while administering medications to Resident #1 and Resident #2 on 1/1/2025. This failure could affect residents by placing them at risk for spread of infection through cross-contamination of pathogens and illness.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that the residents' right to review survey results were readily accessible to residents, family members and legal representatives of residents reviewed for resident rights. The facility failed to ensure survey results were located and placed in a readily accessible location where individuals wishing to examine survey results without having to ask to review them. The facility failed to ensure residents were informed of their right to view survey results. This failure could affect residents who reside in the facility and could result in a lack of awareness for visitors, family, and residents regarding the survey results and the plan of correction submitted by the facility.

Inspectors wroteResident #270 Based on interview and record review, the facility failed to ensure all alleged violation of abuse and neglect were thoroughly investigated for 2 (Resident #370 and Resident # 270) of 17 residents reviewed for abuse, neglect, and misappropriation of property, in that; 1- The facility failed to conduct investigation following self-report of neglect allegation for unwitnessed fall for Resident #370. 2- The facility failed to conduct investigation following self-report of neglect allegation report to the administrator attention by Resident #270's family member. This failure could affect residents by placing them at risk for neglect by not having their incidents investigated.

Inspectors wroteBased on observation, interview and record review, the facility failed to develop and implement comprehensive person-centered care plans for each resident that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment for one (Resident #370) of 4 residents reviewed for comprehensive care plans. The facility failed to develop a comprehensive person-centered care plan to address Resident #370 keeping food in her room in unsanitary conditions. This failure placed residents at risk of not receiving individualized care and services to meet their needs.

Inspectors wroteBased on observation, interview, and record review the facility failed to provide the necessary services for residents who are unable to carry out activities of daily living to maintain good grooming and personal hygiene for 1 (Resident #59) of 8 residents reviewed for ADLs. The facility failed to ensure Resident #59 had his fingernails cleaned and trimmed. This failure could place residents who were dependent on staff for ADL care at risk for loss of dignity, risk for infections and a decreased quality of life.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident who was incontinent of bladder received appropriate treatment and services to prevent urinary tract infections for one (Resident #59) of two residents reviewed for incontinence care. The facility failed to ensure CNA A provided appropriate perineal (genital and rectal areas) care for Resident #59 after an incontinent episode when she failed to clean from front to back. This failure could place residents at risk for the development and/or worsening of urinary tract infections and skin breakdown.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide pharmaceutical services, including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals, to meet the needs of each resident for 1 (Med Aide Cart hall 200) of 3 carts reviewed for pharmacy services. The facility failed to ensure MA C, responsible for Med Aide cart hall 200, removed medications in unsecure containers from the Med Aide Cart. This failure could place residents at risk of not having the medication available due to possible drug diversion and at risk of not receiving the intended therapeutic benefit of the medication. Findings Included: [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to maintain an infection control program designed to prevent the development and transmission of infection for 2 resident (Resident #59 and Resident #46) of 8 residents observed for infection control. The facility failed to ensure: 1- CNA A performed hand hygiene and changed gloves during incontinent care for Resident #59. 2- LVN B performed hand hygiene after performing FSBS (finger stick blood sugar) checks on Resident #46 and cleaning the glucometer, before re-entering the medication cart and drawing the Resident's Insulin. These failures could place residents at risk for infection and cross contamination of pathogens and illness.

Inspectors wroteBased on observation, interview, and record review, the facility failed to notify the resident's physician when there was a significant change in the physical status, and when a decision for transfer of the resident from the facility was made for one (Resident #5) of 24 residents reviewed for notification of changes and transfer of the resident from facility to hospital. 1. The facility failed to have any physician orders for medications to control blood sugar for more than one month (1/27/23-2/28/23) for Resident #5 (diagnosed with Diabetes Type 2). 2. The facility failed to notify the physician of high blood sugar levels (greater than 300 mg/dL) on multiple occasions between 1/28/23-2/28/23 for Resident #5. 3. The facility failed to notify the physician when Resident #5 showed signs and symptoms of hyperglycemia. 4. [...]

Inspectors wroteBased on observation , interview, and record review, the facility failed to ensure each resident was free from neglect when the facility failed to provide care and services for treatment of diabetes for one resident (Resident #5) of 24 residents reviewed for neglect. Resident # 5 did not receive oral medications and insulin for treatment of diabetes from 01/27/23 to 02/28/23. The facility failed to have a system in place to ensure: 1) Physician orders were in place for medications to control blood sugar for more than one month (1/27/23 2/28/23) for Resident #5 (diagnosed with Diabetes Type 2). 2) Treatment was provided for elevated blood sugars equal to or greater than 300 mg/dL on multiple occasions for Resident #5. 3) Their policy of notifying the physician for elevated blood sugars equal to or greater than 300 mg/dL for Resident #5. [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents had admission physician orders for their immediate care for two residents (Resident #5 and Resident #173) of 24 residents reviewed for admitting physician orders. 1. The facility failed to reconcile hospital discharge orders for diabetes medication (insulin sliding scale) upon Resident #5's readmission to the facility from the hospital on 1/27/23. 2. The facility failed to have any physician orders for medications to control blood sugar for more than one month (1/27/23-2/28/23) for Resident #5 (diagnosed with Diabetes Type 2). 3. The facility failed to have physician orders for treatment of high blood sugar levels (greater than 300 mg/dL) on multiple occasions between 1/28/23-2/28/23 for Resident #5. 4. [...]

Inspectors wroteBased on observations, interviews and record review, the facility failed to ensure that a resident received treatment and care in accordance with professional standards of practice and the resident's comprehensive person-centered care plan for one (Resident #5) of 24 residents reviewed for quality of care. 1. The facility failed to have any physician orders for medications to control blood sugar for more than one month (1/27/23-2/28/23) for Resident #5 (diagnosed with Diabetes Type 2). 2. The facility failed to notify the physician of high blood sugar levels (greater than 300 mg/dL) on multiple occasions between 1/28/23-2/28/23 for Resident #5. 3. The facility failed to notify the physician when Resident #5 showed signs and symptoms of hyperglycemia. 4. [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to dispose of garbage and refuse properly for facility's one dumpster and used grease disposal container for garbage disposal, in that: 1. Facility failed to ensure used grease disposal container was disposed of by contract company. 2. Facility failed to ensure dumpster did not have items of recliner, wheelchairs, mattress and used PPE gloves on the ground behind dumpster. This deficient practice could place residents at risk for exposure to germs and diseases carried by vermin and rodents.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents who were unable to carry out activities of daily living, received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for two (Residents #64, and #65,) of ten residents reviewed for ADL care. The facility failed to ensure staff provided consistent showers/baths and shaving to Residents #64 and #65 This failure could place residents at risk of not receiving needed hygiene care which could cause skin breakdown, a loss of dignity and self-worth.

Inspectors wroteBased on observations, interview and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards in one of one kitchen reviewed for kitchen sanitation. 1. Facility failed to ensure fryer was cleaned after use and grease was changed. 2. Dietary [NAME] Z failed to wash hands during lunch meal preparation on 02/28/23. These failures could place residents at risk for food contamination and food-borne illness.

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an Infection Prevention and Control Program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for one (Resident #31) of five residents observed for infection control. CNA B and NA C failed to perform hand hygiene during incontinent care for Resident #31 and CNA B failed to perform hand hygiene before leaving Resident #31's room. Theses failure could place residents at risk for infection and cross contamination.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the comprehensive care plan described the services that were to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for two (Residents #31 and Resident # 52) of eighteen residents reviewed for comprehensive care plans. 1. The facility failed to care plan Resident #31's contractures to her right and left shoulders with interventions required to prevent further decline. 2. The facility failed to care plan Resident #52's contractures to his right hand with interventions required to prevent further decline. These failures could place residents at risk for possible adverse side effects, adverse consequences, and decreased quality of life and care and worsening of contractures.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident who was incontinent of bladder received appropriate treatment and services to prevent urinary tract infections and to restore continence to the extent possible for one (Resident #31) of two residents reviewed for incontinence care. The facility failed to ensure NA C provided appropriate perineal care for Resident #31 after an incontinent episode when she failed to separate the residents' labia and clean down the middle. This failure placed residents at risk for the development and/or worsening of urinary tract infections and skin breakdown.

Inspectors wroteBased on interview and record review the facility failed to obtain from hospice the hospice plan of care, hospice election form and the physician certification of the terminal illness for two (Resident #21 and #4) of two residents reviewed for hospice records. 1. The facility failed to obtain the hospice election form and a physician certification of terminal illness for Resident #21. 2. The facility failed to obtain the hospice a physician certification of terminal illness for Resident #4. These failures could place residents at risk for services and treatments not being coordinated.