Failure to Coordinate and Document Hospice Services in Care Plan
Penalty
Summary
The facility failed to ensure coordinated care and services between the facility and hospice for a resident with a terminal prognosis and multiple diagnoses, including senile degeneration of the brain, dementia, atrial fibrillation, and basal cell carcinoma. The resident was admitted to hospice care and required staff assistance with activities of daily living due to severely impaired cognition and bilateral lower extremity contractures. The care plan for the resident did not include specific instructions regarding the hospice services being provided, such as the frequency and type of hospice support visits, supplies and medical equipment covered by hospice, medications provided, or hospice contact information. Record review and staff interview confirmed that the facility lacked a care plan that coordinated with the hospice plan of care. The facility's policy required collaboration and communication with hospice to ensure the resident's needs were met, but this was not reflected in the resident's care plan. The deficiency was identified through observation, record review, and staff verification, demonstrating a lack of coordination and documentation necessary for the provision of hospice services.