Every finding on record at Community Nurses Professional Health Services

Based on review of hospice policies/procedures, documentation, clinical record review, and interview with the hospice patient intake coordinator and administrator, the hospice failed to ensure that documentation was maintained in the clinical record that the interdisciplinary group (IDG) updates to the "Hospice Plan of Care" were completed for two (2) of thirteen (13) active hospice patients who received services during the current hospice certification period. (Patients #4 and #11) Findings include: Review of CR#4 at approximately 1:00 PM on August 2, 2022 revealed a Start of Care (SOC) date of June 20, 2022, 15 calendar days from June 20, 2022 would have been July 5, 2022, the initial IDG meeting did not take place within the 15 calendar days per facility policy, no documentation was provided prior to July 13, 2022 that the IDG reviewed the plan of care within the 15 days from the SOC date. Review of CR#11 at approximately 3:20 PM on August 2, 2022 revealed a Start of Care (SOC) date June 20, 2022, 15 calendar days from June 20, 2022 would have been July 5, 2022, the initial IDG meeting did not take place within the 15 calendar days per facility policy, no documentation was provided prior to July 13, 2022 that the IDG reviewed the plan of care within the 15 days from the SOC date. Review of policy "Provision Of Care, Treatment & Services Page 9.29 IDG Care Planning Process"... revealed... "The IDG (interdisciplinary group) (in collaboration with the patient ' s attending physician, if any) reviews, revises and documents the individualized plan as frequently as the patient ' s condition requires, but no less frequently than every 15 calendar days...." During the interview, conducted on August 2, 2022 at approximately 4:00 PM, with the hospice administrator and patient intake coordinator confirmed that there was no documentation that the IDG had conducted a review of CR#4 or CR#11 plan of care prior to July 13, 2022. "We hold IDG meetings every two weeks and the plan of care for both of these patient's should've been reviewed on June 29, 2022, which was the previous IDG meeting held." per patient intake coordinator.