Failure to Obtain Physician's Order for Hospice Services
Penalty
No penalty information released
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
The facility failed to obtain a physician's order for hospice services for a resident who was readmitted from the hospital with a diagnosis of cerebral infarction, atrial fibrillation, and constipation. Upon readmission, the resident was receiving hospice services from an outside agency, as documented in both hospital records and hospice agency documentation within the clinical record. However, a review of the resident's clinical record revealed that there was no physician's order authorizing hospice services. This absence was confirmed by the Director of Nursing during an interview, who acknowledged that there was no documented evidence of a physician's order for the hospice care being provided since the resident's return.