Failure to Integrate Hospice and Facility Care Plans
Penalty
Summary
The facility failed to ensure that the hospice plan of care was integrated with the facility care plan for one resident who was receiving hospice services. The resident had severe cognitive impairment, was dependent on staff for activities of daily living, and had diagnoses including Parkinson's disease, respiratory failure, and diabetes. Review of the resident's care plan showed it noted hospice involvement but did not specify what services hospice was to provide during their visits. The nurse consultant confirmed that the hospice care plan was not integrated with the facility care plan as required. Facility policy stated that care plans for residents on hospice should include the most recent hospice plan of care and delineate the care and services provided by both the facility and hospice.