Every finding on record at Assured Hospice LLC

Based on record review and interviews, the agency failed to develop a bereavement plan of care that specified the bereavement services to be offered and the frequency of this service for 1 of 1 discharged patient records reviewed. Citing Patient #1. This failure placed Patient #1's family at risk of not being offered bereavement services such as spiritual counseling, emotional counseling and dietary needs. --- Findings:Review of Patient #1's medical record revealed a start of care date of 9/28/2023. Further review of the medical record revealed that Patient #1 died on 10/24/2023. Nowhere in Patient #1's medical record was there a bereavement plan of care.  Review of the agency's undated bereavement binder did not contain a bereavement plan of care for Patient #1. An interview was conducted with the agency's Administrator on 8/18/2025 at approximately 2:10 p.m.  The surveyor inquired as to where the bereavement plan of care was for Patient #1. The Administrator stated “...I don’t know..."A telephone interview was conducted with the Bereavement Coordinator E on 8/18/2025 at approximately 2:30 p.m. The surveyor inquired if the Bereavement Coordinator developed and was following a bereavement plan of care for Patient #1.  Bereavement Coordinator E stated, "...I know I follow up…I am not sure… I have no answer to your question if there even is a plan of care…I have no recollection of it…” The surveyor inquired as to how this failure to have and follow a bereavement plan of care could affect Patient #1's family.  Bereavement Coordinator E stated, "...The family would not be happy. The IDG would not know if there was follow up with the family…” The surveyor inquired as to whose responsibility it was to develop and follow a bereavement plan of care.  Bereavement Coordinator E stated, "...It's my responsibility..."An interview was conducted with the agency's Administrator on 8/19/2025 at approximately 12:06 p.m.  The surveyor inquired as to how not having a bereavement plan of care for Patient #1 can affect the bereaved family members.  The Administrator stated, "... The Bereavement Coordinator doesn’t have a written plan on what he will do next..." The surveyor inquired as to what was the agency's policy on bereavement plans of care.  The Administrator stated, "...It says that the bereavement plan of care needs to be done..."  The surveyor inquired as to whose responsibility it was to develop and follow a bereavement plan of care for the agency's patients.  The Administrator stated, "...The Bereavement Coordinator..."Review of the agency's policy titled, " BEREAVEMENT   PC.26 Page 1 of 2 Revised 020113" read, in part, "...POLICY...Following the death, the Agency will develop and implement the bereavement plan of care based on the post death risk assessments...Agency will provide a bereavement program for a minimum of 12 months following the death of the patient, to assist grieving families/significant others by introducing coping strategies, caring interventions and community resources..."