Every finding on record at Hospice of Nebraska, LLC

Observed in Record Review. In 3 of 10 record reviews, surveyor noted that the goals for the plan of care were not measurable with expected outcomes and time frames for goal attainment. For example, in RRHV#3, the goal for the care plan problem for edema stated patient will have decreased edema, in RRHV#2 the goal for care plan problem of anxiety stated pt/family/CG/facility will identify and verbalize s/s of anxiety, in RRNHV#7 the goal for care plan problem for anxiety stated patient will have less s/s of anxiety/agitation throughout the certification period and the goal for the care plan problem for pain stated patient will remain at an acceptable level of pain'. This was reviewed with the Administrator and Director of Patient Care.

Observed in Record Review. In 2 of 2 discharge record reviews, surveyor noted that the organization failed to ensure that the discharge summary was made available to the receiving providers who will provide the patient with care after discharge. For example, in RRDC#1 and RRDC#2, there was no documentation provided to validate that the discharge summary was sent to the receiving provider. This was reviewed with the Administrator.