Deficiency Index

Every finding on record at Comfort Care Hospice, LLC

Pell City, Alabama · CCN 011617

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 January 26, 2023

1 finding
L0683

It is required that if a patient revokes the election of hospice care or is discharged from hospice per hospice regulation §418.26 (i.e., no longer terminally ill), the hospice forwards to the patient’s attending physician: a copy of the hospice discharge summary and the patient's record, if requested. This standard was not met as evidenced by a review of clinical records, documents, and interviews. In 1 of 2 (50%) applicable clinical records of patients who were live discharges from the hospice agency did not have documentation that the discharge summary was forwarded to the attending physician. Hospice Discharge from Care Policy Number: 17.12 Original Policy Date: 12/1/21 stated in part, "2. If a patient revokes the election of hospice care or is discharged from hospice due to no longer terminally ill, Hospice will forward the patient’s attending physician a copy of the hospice discharge summary, the patient's record, if requested." Clinical Record 11: The patient elected the hospice benefit on 1/27/2022 and was discharged for no longer meeting eligibility requirements on 7/25/2022. There was no documentation in the clinical record that the discharge summary was forwarded to the patient's attending physician or the nursing facility. The Executive Director was interviewed on 1/25/2023 and agreed that there was no documentation that the discharge summaries were forwarded to the appropriate parties.

← Back to the Comfort Care Hospice, LLC record

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

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction