Failure to Update Comprehensive Care Plan with Hospice Objectives and Interventions
Penalty
Summary
The facility failed to update and implement objectives, goals, and interventions related to hospice care on the comprehensive care plan for a resident who was admitted to hospice. The facility's policy requires a coordinated care plan to be jointly developed with hospice, including directives for managing pain and other symptoms, and mandates that the care plan be revised as necessary to reflect the resident's current condition. Despite these requirements, the comprehensive care plan for the resident only noted a terminal prognosis and listed a hospice nurse's phone number, without including specific hospice-related objectives, goals, or interventions. The resident involved had multiple significant medical diagnoses, including chronic pulmonary embolism, pressure-induced deep tissue damage, malignant neoplasm of the lung, chronic kidney disease stage 3, dementia, and pain. The deficiency was confirmed through record review and an interview with the DON, who acknowledged that the care plan was not updated with measurable goals and interventions after the resident was placed on hospice care.