Deficiency Index

Every finding on record at Cypress Hospice LLC

San Antonio, Texas · CCN A91654

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 20, 2023

1 finding
L0523

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. In 1 of 5 (20%) records reviewed it was revealed that the agency did not ensure the initial chaplain comprehensive assessment was completed within the first 5 days after the patient elected hospice care. Clinical Record 2: The patient elected hospice services on 6/20/23. An initial chaplain assessment visit was missed on 6/21/23, and documentation in the record stated that the patient and family were contacted, a message was left with the patient's family, and nobody returned the call. The administrator was interviewed on 7/19/23 and stated, "I missed the visit when I called and left a message and didn't get a return call back."

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

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