Every finding on record at Alliance Health Services, Inc

Observed in Record Review. Identified in 3 of 3 active patient records, there was a lack of anticipated funeral planning/needs addressed per organizational Policy No. 2-031.1- Ongoing Comprehensive Assessment - Procedure: During the home visit, . . . discipline will evaluate the patient according to problems identified during the initial assessment and thereafter . . .: O - Additional psychosocial issues; and P. Progress toward hospice goals and patient needs and problems. For example in HV#1 the Medical Social Worker (MSW) documented NA to burial plans in the initial comprehensive assessment, and did not address burial/funeral plans again in any of the subsequent three monthly visits. In HV#2, the MSW documented No to burial plans in the initial comprehensive assessment, and did not address burial/funeral plans again in any of the subsequent three monthly visits. In HV#3, the MSW documented in process to burial plans in the initial comprehensive assessment, and did not re-address burial/funeral plans in any of the subsequent three monthly visits. This was discussed and validated with the Administrator.

Observed in Record Review. In 3 of 3 active patient records reviewed, each of the individual Plans of Care lacked progression towards meeting the patients' psychosocial need in the identification/resolution of the patients' burial/funeral planning in accordance with the organization's Policy No. 2-044.11-The Plan of Care: “A written individualized patient and family/caregiver plan of care will be established and maintained for each individual admitted to the hospice program. The care provided to the patient must be in accordance with the plan of care. . . The plan of care will be based on the initial, comprehensive and ongoing comprehensive assessments performed by members of the interdisciplinary group and will be reviewed on a regular basis but no less than every fifteen (15) days. This plan will focus on identified problems, goals, and interventions”. For example, in HV#1, HV#2, and HV#3, the patient’s Plan of Care following the Medical Social Worker's initial Comprehensive Assessment approximately three months prior to the survey, listed assist with funeral planning as an intervention. The following seven Interdisciplinary Group Meetings, and seven updates to the Plan of Care documented no progression towards meeting the Goals developed, nor changes in Interventions to achieve the funeral planning outcome.