Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Based on record review, policy/procedure review and interviews, the facility failed to ensure an effective communication process, including how the communication would be documented between the Long-Term Care (LTC) facility and the hospice provider, to ensure that the needs of the resident were addressed and met 24 hours a day for one (1) of seven (7) residents sampled. Resident #1.
During the admission process on 8/8/23, Resident #1 told the admitting nurse that he wanted to call a friend to pick him up and take him to jump off a bridge. On 8/9/23, a Medical Doctor's (MD) order was written for a psychiatric (psych) evaluation. On 8/9/23, Resident #1 wanted to be admitted to hospice services. …
D · No harm, potential for more than minimal, isolatedMarch 28, 2024
Based on observation, interview, record review, and facility policy review, the facility failed to ensure the facility's designated Hospice Coordinator coordinated the care provided by the Hospice service and the facility for one (1) of two (2) Hospice residents reviewed. (Resident #27)
Findings include:
A review of facility's policy titled, Hospice Program, dated 7/13/17, revealed, It is the policy of the facility to contract hospice services for residents who wish to participate in such programs .Procedure: 8. As the facility designee, the Director of Nursing, is responsible for working with hospice representatives to coordinate care to the resident provided by the facility staff and hospice staff. The Director of Nursing is responsible for the following: a. …
C · No harm, potential for minimal, widespreadJanuary 26, 2018
Based on record review, staff interview, and facility policy review the facility failed to establish a Hospice Coordinator for six (6) of six (6) days of survey, which affected Resident #42, one (1) of one (1) Hospice resident.
Findings Include:
During A review of the facility policy titled, Facility Referral to Hospice, with a revised date of 11/99, revealed no insert on selecting a Hospice Coordinator or duties of a Hospice Coordinator.
Record review for Resident #42 revealed a Physician's order for Hospice on 12/19/17.
Interview on 01/24/2018 at 9:33 AM, with the Administrator Assistant, confirmed Social Service handled the Hospice residents and the facility did not have a Hospice Coordinator. …
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