Failure to Coordinate Hospice Services
Penalty
Summary
The facility failed to ensure proper coordination of care and services between the long-term care facility and the hospice agency for one resident. This deficiency was identified during a review of clinical records and staff interviews. The resident in question was admitted to the facility with a history of malignant neoplasm of the bladder and dementia, and later admitted into hospice services. However, the care plan for this resident did not reflect the necessary collaboration between the facility and the hospice agency. The resident's care plan, initially dated shortly after admission, lacked documented evidence of collaboration in addressing the resident's daily care needs and specific care and services related to the resident's terminal diagnosis. This indicates a failure to integrate hospice care into the resident's overall care plan, which is essential for ensuring that the resident's needs are met comprehensively. An interview with the Nursing Home Administrator confirmed that the resident's care plan was not coordinated with hospice services. This lack of coordination could potentially impact the quality of care provided to the resident, as the care plan did not adequately address the resident's terminal diagnosis and the necessary hospice services.
Plan Of Correction
Resident 1 care plan has been reviewed and updated to reflect the coordination of care and services between the facility and hospice agency. Current residents on hospice will have care plans reviewed to verify the presence of coordination of care and services between the facility and hospice agency. Nursing staff will be re-educated on the need of care plan coordination of care and services between facility and hospice. Audits will be completed on new hospice admissions to ensure the presence of coordination of care and services between facility and hospice in the care plan weekly x 4 weeks, then monthly x 2 months. Results will be reviewed at monthly QAPI meeting.