Every finding on record at Familia Healthcare Services, Inc.

It is required that the comprehensive assessment includes an initial bereavement assessment of the needs of the patient's family and other individuals, focusing on the social, spiritual, and cultural factors that may impact their ability to cope with the patient's death. Information gathered from the initial bereavement assessment is incorporated into the plan of care and considered in the bereavement plan of care. This standard was not met as evidenced by a review of clinical records and interview. 6 of 9 (67%) records reviewed for patients that received at least five days of hospice services lacked evidence of having an initial bereavement assessment completed within (5) calendar days after the election of hospice care. Record #55389: The hospice benefit election was signed, and the patient was admitted on 11/10/21. The records lacked evidence of a completed initial bereavement assessment during the five (5) calendar days after the election of hospice care. The RN, Chaplain, and Social Worker notes were reviewed between 11/10/21 to 11/15/2021, and there was no documented evidence that an initial assessment was completed or attempts were made to complete the initial bereavement assessment. Record #16376: The hospice benefit election was signed, and the patient was admitted on 10/14/21. The records lacked evidence of a completed initial bereavement assessment during the five (5) calendar days after the election of hospice care. The RN, Chaplain, and Social Worker notes were reviewed between 11/14//21 to 11/19/2021, and there was no documented evidence that an initial assessment was completed or attempts were made to complete the initial bereavement assessment. Record #55057: The hospice benefit election was signed, and the patient was admitted on 10/26/2021. The records lacked evidence of a completed initial bereavement assessment during the five (5) calendar days after the election of hospice care. The RN, Chaplain, and Social Worker notes were reviewed between 10/26/21 to 11/31/2021, and there was no documented evidence that an initial assessment was completed or attempts were made to complete the initial bereavement assessment. Record #90963: The hospice benefit election was signed, and the patient was admitted on 11/10/21. The records lacked evidence of a completed initial bereavement assessment during the five (5) calendar days after the election of hospice care. The RN, Chaplain, and Social Worker notes were reviewed between 11/10/21 to 11/15/2021, and there was no documented evidence that an initial assessment was completed or attempts were made to complete the initial bereavement assessment. Record #76495: The hospice benefit election was signed, and the patient was admitted on 02/12/2021. The records lacked evidence of a completed initial bereavement assessment during the five (5) calendar days after the election of hospice care. The RN, Chaplain, and Social Worker notes were reviewed between 02/12/21 to 02/17/2021, and there was no documented evidence that an initial assessment was completed or attempts were made to complete the initial bereavement assessment. Record #43706: The hospice benefit election was signed, and the patient was admitted on 10/25/2021. The records lacked evidence of a completed initial bereavement assessment during the five (5) calendar days after the election of hospice care. The RN, Chaplain, and Social Worker notes were reviewed between 10/25/21 to 10/30/2021, and there was no documented evidence that an initial assessment was completed or attempts were made to complete the initial bereavement assessment. Interview with the Director of Nursing on 11/23/2021 stated, " we trained our staff on completing an initial bereavement assessment during admission, and the training is reviewed annually." "This initial assessment should have been documented."