Deficiency Index

Every finding on record at Brightside Hospice and Palliative Care Corporation

Richmond, Texas · CCN A91707

1 finding across 1 survey, in the inspector's own words.

The inspector’s own words from form CMS-2567, unedited, including CMS’s own spacing. Names and some dates are redacted by CMS.

Survey of April 12, 2024

1 finding
L0540

It is required that the hospice designates a registered nurse member of the IDG to provide coordination of care, ensure continuous assessment of each patient’s and family’s needs, and ensure the implementation of the interdisciplinary plan of care. This standard was not met as evidenced by clinical record review, document review and interview. In 2 of 6 (33%) clinical records reviewed for patients receiving services revealed that the hospice did not ensure a registered nurse provided coordination of care, continuous assessment of each patient's and family's needs, and ensure the implementation of the interdisciplinary plan of care. Clinical Record 2: The patient election of benefit was 10/26/2023. The plan of care dated 10/26/2023 ordered chaplain visits for one time a month. The chaplain's first documented visit was on 10/30/2023. The next chaplain documented visit did not occur until 01/11/2024.. There was no documented evidence of chaplain visits for November or December 2023. Clinical Record 3: The patient election of benefit was 10/19/2023. The plan of care dated 10/19/2023 ordered social worker visits once a month and chaplain visits once a month.. The chaplain documented an assessment dated 10/23/2023. There was no documented evidence that the chaplain performed an evaluation or any documented evidence to why visit not made. During an interview on 04/12/2024, the Administrator/Director of Nursing agreed that there was no documented evidence that visits had been made or missed by the hospice agency chaplain or social worker.

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Federal survey findings only. State licensure findings for hospices are not shown.

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