Every finding on record at 365 Hospice LLC

Based on review of agency policy and procedure, observation (OBV), and staff (EMP) interviews, the agency failed to ensure an ongoing sharing of information between all disciplines providing care and services related to patient care for one (1) of four (4) patient observations that were conducted (OBV3). Findings included: Review of the agency's policy was conducted on 3/19/2024 at approximately 8:30 AM which revealed, ";PROVISION OF CARE TO RESIDENTS OF SNF/NF OR ICF/MR...POLICY...Hospice will assume responsibility for professional management of the SNF/NF or ICF/MR residents hospice services provided, in accordance with the hospice plan of care and the hospice CoPs, and make any arrangements for hospice-related inpatient care in a participating Medicare/Medicaid facility. PROCEDURE...6. The organization will provide the SNF/NF or ICF/MR the following information specific to each patient: A. Hospice election forms and Advance Directives B. Physician certification and recertification of the terminal illness...F. Hospice physician and attending physician (if any) orders...7. The organization must assure orientation of SNF/NF or ICF/MR staff furnishing care to hospice patients in the following...E. Appropriate forms and record keeping requirements." MR3, patient visit was conducted at a facility on 3/6/2024 at approximately 10:21 AM. Start of Care was 11/22/2023. One agency folder was available with agency information. At approximately 10:45 AM the surveyor review the agency binder for the plan of care. A plan of care was in the binder with a certification end date of 2/19/2024. The surveyor and EMP3 review the facilities medical record for a current plan of care. The surveyor requested for EMP3 to review the agency patient information binder. EMP3 was not able to locate a current plan of care. An exit interview was conducted on 3/7/2024 at approximately 2:30 PM with the executive director, chief financial officer, director of business development, human resource manager and clinical supervisor which confirmed the above information.