Every finding on record at Advance Care Plus Hospice, LLC

It is required that Information gathered from the initial bereavement assessment is incorporated into the plan of care and considered in the bereavement plan of care. This standard was not met as evidenced by clinical record review, document review and interview. In 1 of 5 (20%) records reviewed revealed that the hospice agency did not ensure that information gathered from the initial bereavement risk assessment was incorporated into the care plan. Document 2: Policy# PE.1 titled Bereavement Services (revised 010120) sub-section two (2) (C) stated in part, "An initial bereavement risk assessment of the needs of that patient, family, and other individuals ability to cope with the patient death will be part of the initial assessment, comprehensive assessment, and reassessments. Information gathered from the initial bereavement assessment will be incorporated into the Plan of Care (POC) and considered in the bereavement POC". Clinical Record 2: A patient with a hospice benefit election date of 01/10/2024 had an initial bereavement risk assessment completed by the Chaplain on 01/13/2024, which identified the caregiver as a moderate bereavement risk. The record did not contain any interventions or goals related to bereavement/grief. The Initial Plan of care dated 01/10/2024 contained no problems, goals, or interventions related to bereavement. The interdisciplinary care plan was updated at the Interdisciplinary Group (IDG) meeting and completed on 01/17/2024. It did not contain any problems, goals, or interventions related to bereavement. The section titled "Anticipatory Grief/Bereavement was blank. The updated Interdisciplinary Care Plan section titled "Anticipatory Grief/Bereavement was blank for every IDG meeting after admission, which was completed on 01/17/2024, 01/31/2024, 02/14/2024, and 02/28/2024 A joint record review and interview with the Director of Nursing (staff 2) on 03/13/2024 confirmed the record did not contain evidence the Interdisciplinary Group (IDG) was aware of the identified moderate bereavement risk assessment. In addition, the Director of Nursing DON confirmed the initial plan of care, or updated plans of care, did not contain any problems, goals, or intervention related to the bereavement risk assessment completed on 01/13/2024.