Failure to Document Hospice-Provided Medications and Equipment
Penalty
Summary
The facility failed to provide a description of the medication and equipment supplied by hospice for a resident receiving hospice services. The resident, who had diagnoses including dementia, major depressive disorder, and cognitive communication deficit, was documented as being severely cognitively impaired and dependent on staff for mobility and personal care. The care plan indicated that hospice would provide nursing visits, a bath aide, social services, and chaplain visits, but did not specify the medications and equipment provided by hospice. Staff interviews revealed that information about hospice services should be included in the resident's care plan and accessible to all staff, but this information was missing. Observations and record reviews confirmed that the hospice provider supplied a notebook for each hospice resident, but the care plan lacked details about the specific services, supplies, and equipment provided by hospice. Staff members, including a licensed nurse and a CNA, stated that the care plan should include this information, and the administrative nurse confirmed that all staff should have access to it. The facility's policy required coordination and documentation of hospice services, but this was not followed, resulting in incomplete information in the resident's care plan.