Care Plan Lacked Hospice/End-of-Life Focus for Resident on Hospice
Penalty
Summary
The facility failed to develop a care plan that addressed all of a resident's needs, specifically omitting a focus on hospice and end-of-life care for a resident with dementia and major depressive disorder who had been enrolled in hospice services. Review of the resident's admission record and physician orders confirmed hospice enrollment, but the current care plan did not include any goals, interventions, or measurable objectives related to hospice or end-of-life care. During an interview, the DON acknowledged the omission after reviewing the care plan with the surveyor. The facility's own policy requires that the comprehensive care plan include all services identified in the resident's assessment, with measurable objectives and timeframes to meet the resident's needs, but this was not followed in this case.