Failure to Develop Individualized Hospice Care Plan
Penalty
Summary
The facility failed to develop an individualized care plan with measurable interventions for a resident who was admitted to hospice care. The hospice admission evaluation note documented the resident's admission to hospice, but upon review, there was no evidence of a care plan or related communication for the resident in the facility's communication book. The DON confirmed that the resident's care plan should have been present, and the Care Plan Coordinator, who was new to the position, acknowledged that the resident should have had a care plan with interventions in place. The hospice plan of care was only provided after further inquiry, and it was stated that hospice care plans are obtained from the hospice case manager, indicating a lack of timely and facility-developed care planning for the resident's end-of-life needs.