Every finding on record at Cfhc No23 Inc

It is required that the hospice Interdisciplinary Group, in consultation with the individual's attending physician (if any), completes an initial comprehensive assessment no later than five (5) calendar days after the election of hospice care, in accordance with CMS §418.24–the elements of the hospice care election statement. This standard was not met as evidenced by clinical record review and interview. 3 of 5 (60%) clinical records reviewed revealed that the IDG did not complete the initial comprehensive assessment within 5 days after the election of hospice care. Record #48373: the patient elected the hospice benefit on 5/4/2022. The MSW initial visit was not completed until 6/4/2022 (31 calendar days from the election of hospice care). Record #30056: the patient elected the hospice benefit on 5/5/2022. The MSW initial visit was not completed until 6/4/2022 (30 calendar days from the election of hospice care). Record #71807: the patient elected the hospice benefit on 5/9/2022. The MSW initial visit was not completed until 6/4/2022 (26 calendar days from the election of hospice care). The Administrator was interviewed on 7/6/2022 and agreed that the initial MSW assessment was completed late on these records. She stated that the problem was identified and Performance Improvement Plan was initiated on 5/31/2022. She had no additional information to provide.