Every finding on record at Georgia Community Hospice, LLC

Based on record reviews, staff interview, and agency policy review, it was determined that the hospice agency failed to complete the discharge summary including: a summary of each patient stay with treatments, symptoms and pain management, current plan of care (POC), the latest physician orders, and, if needed, any documentation that would assist in continuity of care for two patients (P) ( P#13 and P#14) of fourteen patient records reviewed. --- The findings include: Review of the agency policy titled, ";Discharge Summary", 9.29.1, revised June 2019, reveals the following: Procedure: If a patient is transferred, revokes the election of hospice care, or is discharged from the hospice, the hospice will forward to the patient's attending physician, a copy of the discharge summary. The (Facility) discharge summary will include: a. a summary of the patient's stay including treatments, symptoms and pain management b. patient's current plan of care c. physician's orders d. any other documentation to assist in post-discharge continuity of care e. date and reason for discharge f. instructions or referral information given to the patient and family g. patient identifying information h. patient's physician 1. Record review revealed P#13 discharged from services on 10/11/23 however, the hospice failed to complete a comprehensive discharge summary. 2. Record review revealed P#14 revoked hospice benefit services on 12/31/23 however, the hospice failed to complete a comprehensive discharge summary. On 2/7/24 at 11:00 a.m., during an interview with the Administrator, she verbalized she was not aware that the discharge summary must be completed at discharge. The Administrator confirmed the previously stated patient charts did not have a comprehensive discharge summary.