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 a review of clinical records and interviews. 3 of 5 (60%) records reviewed of patients who had accepted psychosocial services revealed the agency failed to ensure that the psychosocial assessment was completed within 5 days of admission to the hospice as required. Record #2 was reviewed and identified the patient elected hospice care on 5/4/22. The initial comprehensive assessment was documented as completed by the Licensed Medical Social Worker (LMSW) on 6/4/22, due to a “scheduling conflict” with the LMSW. The LMSW was unable to complete the comprehensive assessment within the required five (5) calendar days. Record #4 was reviewed and identified the patient elected hospice care on 5/5/22. The initial comprehensive assessment was documented as completed by the Licensed Medical Social Worker (LMSW) on 6/4/22, due to a “scheduling conflict” with the LMSW. The LMSW was unable to complete the comprehensive assessment within the required five (5) calendar days. Record #3 was reviewed and identified the patient elected hospice care on 5/9/22. The initial comprehensive assessment was documented as completed by the Licensed Medical Social Worker (LMSW) on 6/4/22, due to a “scheduling conflict” with the LMSW. The LMSW was unable to complete the comprehensive assessment within the required five (5) calendar days. During an interview with the Administrator, on 7/21/2022, it was confirmed that the psychosocial assessment had not been completed timely by the LMSW.
Every finding on record at Cfhc No7 Inc
San Antonio, Texas · CCN 971795
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 July 22, 2022
1 finding← Back to the Cfhc No7 Inc record
Federal survey findings only. State licensure findings for hospices are not shown.
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