Failure to Coordinate Hospice Services and Document Provider Information
Penalty
Summary
The facility failed to coordinate hospice services with facility services for one resident receiving end-of-life care. The resident was admitted on an unspecified date and had an MDS dated 11/30/25 showing diagnoses of anxiety, depression, and adult failure to thrive, with Section O indicating that hospice services were being provided while a resident. A physician order dated 9/13/24 documented that the resident was assessed and admitted to hospice. However, the physician orders did not include a diagnosis specifically associated with the hospice care, nor did they identify which hospice provider was responsible for the resident’s hospice services or provide the hospice provider’s contact information. Review of the resident’s current comprehensive care plan showed that it did not contain a plan of care demonstrating coordination of hospice services. The care plan lacked the hospice agency’s contact information and did not describe how staff could access the hospice provider’s 24-hour on-call system. During an interview on 1/22/26 at 2:25 p.m., the Director of Nursing confirmed that the facility had failed to include a hospice diagnosis, hospice agency contact information, and instructions for accessing the hospice’s 24-hour on-call system, and acknowledged that the facility did not ensure coordination of hospice services with facility services to meet the resident’s needs.
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