Failure to Update Care Plan for Hospice Admission
Penalty
Summary
The facility failed to update the care plan for one resident after the initiation of hospice services. Specifically, a resident with severe cognitive deficits, total dependence for activities of daily living, and multiple diagnoses including diabetes mellitus, Alzheimer's disease, cerebrovascular accident with hemiplegia, and oral dysphagia, was admitted to hospice on 4/16/25. Despite this significant change in care needs, the resident's care plan, last updated on 4/8/25, did not include a focus area for hospice services, even though documentation confirmed hospice admission and services had begun. Observations and interviews confirmed the resident was receiving hospice care, and the DON stated that hospice should be added to the care plan as soon as a resident is admitted to hospice. Facility policy requires that comprehensive, person-centered care plans include all services necessary to meet the resident's needs, but this was not followed in this case, resulting in the omission of hospice from the care plan.