Every finding on record at Favor Hospice Care LLC

Based on record reviews, staff interview, and review of hospice agency policies and procedures, it was determined the facility failed to reveal and implement initial spiritual assessment for one patient (P) (P#1) of 11 sampled patients reviewed. --- The findings include: Review of the undated policy titled, ";Spiritual Services," reveals the following: Procedure The Chaplain/Spiritual Counselor is a core member of the IDG, and duties include but are not limited to, the following: The initial spiritual assessment will be completed by the SW/Chaplain and/or designated person for all patients within 5 working days from election of the hospice benefit. This assessment will become part of the comprehensive assessment. Observations, interventions, and the patients response to interventions will be documented in the record. Review of the clinical records for P#1 failed to reveal initial spiritual assessment. The start of care was done by skilled nurse on 3/20/2024. On 4/9/2024 at 11:56 a.m., an interview was conducted with the Administrator, who confirmed that the hospice staff failed to implement initial spiritual assessment for P#1.

Based on record reviews, staff interview, and review of hospice agency policies and procedures, it was determined the facility failed to reveal and implement initial bereavement assessments for two patients (P) (P#1, P#2) of 11 sampled patients reviewed. --- The findings include: Review of the clinical records for P#1 and P#2 failed to reveal initial bereavement assessments. On 4/9/2024 at 11:56 a.m., an interview was conducted with the Administrator, who confirmed that the hospice staff failed to implement initial bereavement assessments for P#1 and P#2. The chaplain is not available for interview. The hospice agency failed to provide a policy for bereavement assessment upon exit.