Failure to Update Care Plan for Hospice Status
Penalty
Summary
The facility failed to review and revise the comprehensive care plan after each assessment for one resident who was receiving hospice services. Specifically, the care plan for a female resident with a primary diagnosis of senile degeneration of the brain and severely impaired cognition was not updated to reflect her hospice status after a comprehensive MDS assessment. The resident had a physician's order for hospice services, but the care plan, last updated prior to the hospice order, did not address this change in her care needs. Interviews with facility staff, including the MDS coordinator, DON, and Administrator, confirmed that the care plan update was overlooked and that care plans should be updated after each MDS assessment. Facility policy also required that care plans for residents receiving hospice services be developed in conjunction with hospice organizations and reviewed at least every 90 days. The failure to update the care plan as required was identified through record review and staff interviews.