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F0849
D

Failure to Maintain Current Hospice Documentation

Mandeville, Louisiana Survey Completed on 06-13-2025

Penalty

Fine: $146,520
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to maintain a system to ensure that a hospice resident's Hospice Binder contained the most recent Hospice Plan of Care and a current Recertification of Terminal Illness. Specifically, for one resident receiving hospice care, the binder did not include the latest physician recertification or an updated plan of care for the current certification period. The facility's agreement with the hospice agency required obtaining and maintaining these documents for each hospice patient. Record review showed that the most recent documents in the resident's Hospice Binder were outdated, corresponding to a previous certification period. Interviews confirmed that the current physician recertification and updated plan of care were missing from the binder. This deficiency had the potential to affect all residents in the facility receiving hospice services.

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