Every finding on record at Caring Hands Hospice, Inc.

Based on clinical record review and staff interview it was determined the Agency failed to include Chaplain participation as part of the Interdisciplinary Group (IDG) in contributing to the patients comprehensive and ongoing assessments and care planning process in 3 (#6, #7, and #8) of 14 clinical records reviewed. This failed practice by the Agency had the potential to affect all admissions to the Agency in that there could be a delay in identification of patient and family spiritual needs and could place patient and/or family at risk of inadequate coping mechanisms with end-of-life issues, lack of resources and ineffective family support. Findings follow: --- Review of clinical record #6 with a start of care (SOC) of 09/27/24 revealed a patient with a diagnosis of Senile Degeneration of the Brain. Review of documents titled ";Interdisciplinary Team Meeting" and dated 12/30/24 and 01/13/25 showed no evidence the Chaplain participated during the IDG meetings to plan and coordinate care. Review of clinical record #7 with a SOC of 11/16/23 revealed a patient with a diagnosis of Chronic Obstructive Pulmonary Disease. Review of a document titled ";Interdisciplinary Team Meeting" and dated 01/13/25 showed no evidence the Chaplain participated during the IDG meeting to plan and coordinate care. Review of clinical record #8 with a SOC of 01/24/24 revealed a patient with a diagnosis of Malignant Neoplasm of Endometrium. Review of a document titled ";Interdisciplinary Team Meeting" and dated 01/13/25 showed no evidence the Chaplain participated during the IDG meeting to plan and coordinate care. An interview on 2/10/25 at 2:30 PM with Agency Personnel #1 confirmed the Chaplain did not attend all IDG meetings. Reports the Chaplain reviewed the IDG summary after the IDG meeting. An interview on 2/14/25 with Agency Personnel #1 confirmed the Chaplain failed to participate in the update and development of the patient's plan of care.