Every finding on record at Centinela Hospice Care Inc

Upon patient record review, 1 of 14 (Patient #4) did not have evidence in the patient record that the comprehensive assessment includes a bereavement component which includes the needs of the patient's family and other individuals focusing on the social, spiritual, and cultural factors that may impact their ability to cope with the patient's death. Information gathered from the initial bereavement assessment is incorporated into the plan of care and is considered in the bereavement plan of care. Patient#4-There is no evidence of an initial bereavement assessment.

Upon patient record review, 1 of 5 (Patient #1) did not include evidence the plan of care included DME. Patient #1: Comprehensive assessment documents patient has a walker which was observed during the home visit. Walker was not on the plan of care.

Upon client record review, 2 of 2 applicable (Patient #4 & 5) did not include all required information in the discharge summary. Patient #4, #5: the discharge summary did not include a summary of the patient's stay including symptoms, treatments, and other pertinent information such as code status.