Failure to Integrate and Maintain Hospice Care Plans for Residents Receiving Hospice Services
Penalty
Summary
The facility failed to develop and maintain current hospice care plans in collaboration with contracted hospice services for two residents who were receiving hospice care. For one resident with end stage renal disease, the care plan did not reflect the unique needs associated with hospice care and lacked documentation of hospice orders or input. Additionally, there was no hospice care plan present in the resident's electronic health record. For another resident with a history of stroke and dementia, the care plan similarly did not address the specific needs related to hospice care and was missing documentation of hospice orders or input. The facility's policy required that each resident's care plan include both the most recent hospice care plan and the facility's care plan to support the resident's well-being. However, interviews with the Director of Nursing Services revealed that the process for integrating hospice care plans into the facility's records was not followed for these two residents. The hospice care plans were either not uploaded or not incorporated as required, resulting in incomplete documentation and lack of clarity regarding provider responsibilities for hospice services.