Failure to Maintain Current Hospice Documentation
Penalty
No penalty information released
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
The facility failed to maintain current and complete hospice documentation for one resident receiving hospice services. Specifically, the resident's electronic health record and hospice binder did not contain an up-to-date certification of terminal illness or the most recent Interdisciplinary Group (IDG) Comprehensive Assessment. During record review, it was found that these essential documents were missing from both the hospice binder and the EHR. The Director of Nursing confirmed the absence of these documents and was unable to locate them when initially asked, later acknowledging that the facility did not have the required documentation available at the time of the survey.