Every finding on record at Eh Home Health of the West, LLC

Based on interview and record review, it was determined that the hospice agency did not conduct an initial bereavement assessment as part of the comprehensive assessment within five calendar days after the election of hospice care. Specifically, 7 out of 14 patients had their initial bereavement assessment completed later than 5 days, and 2 out of 14 had no initial bereavement assessment. (Patient Identifiers: 1, 2, 3, 4, 8, 10, 12, 13, and 14) --- Findings include:A review of 14 patient medical records was completed from 3/25/2025 through 3/31/2025.Patients 4 and 12 had no documented evidence of an initial bereavement assessment in their medical record.On 3/27/2025 at 2:42 PM, the agency administrator stated they did not have initial bereavement assessments for patients 4 and 12.Initial bereavement assessments were found to be completed later than 5 calendar days after the election of hospice care for patients 1, 2, 3, 8, 10, 13, and 14.On 3/31/2025 at 1:50 PM, the administrator was asked what their policy was regarding the completion of bereavement assessments. The administrator stated their policy was to have bereavement assessments completed within 5 days. The administrator stated they would be starting a performance improvement project on initial bereavement assessments.