Failure to Collaborate with Hospice for Resident's Plan of Care
Penalty
Summary
The facility failed to follow its hospice policy and procedure by not collaborating, developing, and implementing a coordinated plan of care (POC) with hospice representatives for a resident who was admitted into the hospice program. The resident, who had a principal diagnosis of a disorder of the brain, was admitted to the facility and started on hospice services. However, the resident's hospice POC did not reflect the participation of hospice representatives, the resident, or the resident's representatives, as required by facility policy and applicable regulations. Interviews with the Social Services Designee (SSD) and the Director of Nursing (DON) confirmed that no care plan conference had been scheduled with the hospice provider, and there was no collaboration with hospice representatives in developing the resident's hospice care plan. The SSD acknowledged awareness of the requirement but stated that the care conference had not been scheduled. The DON confirmed that the facility had not met to collaborate with hospice representatives on the resident's POC, attributing the failure to an oversight. Review of the facility's policy indicated that such collaboration and coordination were required for residents receiving hospice services.