Failure to Coordinate Hospice Services for Residents
Penalty
Summary
The facility failed to ensure proper coordination of care and services between the facility and the hospice agency for two residents. Resident 69, who was admitted with diagnoses including dementia and Alzheimer's disease, was placed into hospice care for end-stage Alzheimer's disease. However, the resident's care plan, last revised on November 25, 2024, did not reflect the necessary coordination of services between the facility and the hospice agency to meet the resident's daily and terminal care needs. Similarly, Resident 7, admitted with a diagnosis of dementia, was also placed into hospice care for end-stage dementia. The care plan for Resident 7, last revised on December 10, 2024, similarly failed to reflect coordination of services between the facility and the hospice agency. An interview with the director of nursing confirmed that the care plans for both residents were not coordinated with hospice services, indicating a deficiency in the facility's coordination of care.
Plan Of Correction
1. Comprehensive care plans for Residents 69 and 7 have been revised so that the facility and hospice care plans are integrated to meet the resident's care needs. 2. Residents/Representatives electing the hospice benefit will have care plans integrated with hospice to meet the resident's care needs. 3. The coordination of hospice service policy has been reviewed/revised to assure that care and service between the facility and Hospice Agency is integrated. PCC will be contacted for care plan information to better our electronic care planning. The policy will be in-serviced to the IDT. 4. The NHA/designee will audit residents on hospice weekly to assure hospice and facility care plans are integrated and promote to meet the resident's care needs. 5. February 18, 2025