Every finding on record at Health Watch Hospice of Guymon, LLC

Based on record review and interview, the IDG failed to ensure the comprehensive assessment was completed within 5 days of the election of hospice care for three (#1, #13 and #14) of fourteen (#1 -#14) records reviewed. --- Patient #1 Review of clinical record #1 for initial certification period 05/02/24 - 07/30/24 revealed a primary diagnosis of Chronic Obstructive Pulmonary Disease and a SOC date of 05/02/24. Further review of Clinical Visit Notes indicated a Chaplain Spiritual Evaluation was conducted on 05/10/24 (3 days late). Patient #13 Review of clinical record #13 for initial certification period 09/28/23 - 12/15/23 revealed a primary diagnosis of Malignant Neoplasm of the Rectum and a SOC date of 09/28/23. Further review of Clinical Visit Notes indicated a Chaplain Spiritual Evaluation was conducted on 10/04/23 (1 day late). Patient # 14 Review of clinical record #14 for initial certification period 01/31/24 - 04/29/24 revealed a primary diagnosis of Chronic Kidney Disease with Heart Failure and a SOC date of 01/31/24. Further review of Clinical Visit Notes indicated the Chaplain Spiritual and Social Worker Psychosocial Evaluations were conducted on 02/06/24 (1 day late). During an interview on 05/15/24 at 2:45 PM, the Administrator stated the IDG members failed to ensure the comprehensive assessment was completed within 5 days as required for Patients #1, #13 and #14.

Based on record review and interview, the IDG failed to ensure an Initial Bereavement Risk Assessment was conducted as part of the Comprehensive Assessment to identify needs of the patient and family and to incorporate that information into the hospice bereavement plan of care for eight (#3, #4, #8, #9, #11, #12, #13 and #14) of fourteen (#1 -#14) records reviewed. --- Patient #3 Review of clinical record #3 with a SOC date of 05/19/23 revealed the initial Bereavement Risk Assessment was completed 06/19/23. (27 days late). Patient #4 Review of clinical record #4 with a SOC date of 09/29/23 revealed the initial Bereavement Risk Assessment was completed 05/10/24. (220 days late). Patient #8 Review of clinical record #8 with a SOC date of 06/07/23 revealed the initial Bereavement Risk Assessment was completed 09/21/23. (102 days late). Patient #9 Review of clinical record #9 with a SOC date of 01/13/24 revealed the initial Bereavement Risk Assessment was completed 05/07/24. (111 days late). Patient #11 Review of clinical record #11 with a SOC date of 10/04/23 revealed the initial Bereavement Risk Assessment was completed 04/30/24. (205 days late). Patient #12 Review of clinical record #12 with a SOC date of 10/24/23 revealed the initial Bereavement Risk Assessment was completed 04/30/24. (185 days late). Patient #13 Review of clinical record #13 with a SOC date of 09/08/23 revealed the initial Bereavement Risk Assessment was completed 11/29/23. (77 days late). During an interview on 05/15/24 at 2:45 PM, the Administrator stated the IDG members failed to ensure the Initial Bereavement Risk Assessments for Patients #3, #4, #8, #9, #11, #12, #13 and #14 were completed timely as part of the Comprehensive Assessment.

Based on clinical record review, administrative IDG schedule document and interview, the IDG failed to complete plan of care updates at least every 15 days for seven (#3-#8 and #11) of nineteen (#1 -#19) records reviewed. --- Patient #3 Review of clinical record #3 with a SOC date of 05/19/23 revealed the IDG completed a plan of care update on 03/26/24 and next on 04/16/24. (6 days late) Patient #4 Review of clinical record #4 with a SOC date of 09/29/23 revealed the IDG completed a plan of care update on 01/28/24 and next on 03/10/24. No IDG meetings were documented for the month of February 2024. Patient #5 Review of clinical record #5 with a SOC date of 03/12/24 revealed the IDG completed a plan of care update on 04/16/24 and next on 05/06/24. (5 days late) Patient #6 Review of clinical record #6 with a SOC date of 04/26/24 revealed the IDG completed the initial plan of care update on 05/13/24. (2 days late) Patient #7 Review of clinical record #7 with a SOC date of 10/10/23 revealed the IDG completed plan of care updates on 02/08/24 and next on 03/07/24. (13 days late) Patient #8 Review of clinical record #8 with a SOC date of 06/07/23 revealed the IDG completed plan of care updates on 02/05/24 and next on 03/04/24. (13 days late) Patient #11 Review of clinical record #11 with a SOC date of 10/04/23 revealed the IDG completed plan of care updates on 10/10/23 and next on 11/09/23 (15 days late) and next on 12/08/23. (14 days late). During an interview on 05/15/24 at 2:45 PM, the Administrator stated the IDG members failed to ensure plan of care updates were completed every 15 days as required for Patients #3- #8 and #11.