Failure to Communicate and Document Hospice Services in Resident Care Plan
Penalty
Summary
The facility failed to ensure a communication process between the hospice provider and the facility for a resident who was admitted to hospice care. The resident, who had diagnoses of sarcopenia and a transient ischemic attack and demonstrated moderately impaired cognition, required extensive assistance with most activities of daily living. The care plan documented the need for staff to work cooperatively with the hospice team but did not include specific instructions regarding the services provided by hospice, such as the frequency and type of support visits, supplies, medical equipment, medications covered by hospice, or hospice contact information. Record review and staff interviews confirmed that the care plan lacked essential details about hospice services, and this information was not incorporated into the facility's care plan, even though it was available in the hospice care plan kept at the nurse's station. The facility's policy required a coordinated plan of care between the facility, hospice agency, and resident/family, but this was not reflected in the resident's care plan documentation.