Every finding on record at Hospice of South Georgia

Based on review of the policy titled ";Interdisciplinary Team/Group Membership and Responsibilities," clinical record review, and staff interview, it was determined the hospice failed to ensure the initial comprehensive assessments included assessments of spiritual needs were completed for two patients (P) (P1, P10) of 22 records sampled. --- Findings include: Review of the policy titled ";Interdisciplinary Team/Group Membership and Responsibilities," Number HSG 41, dated August 2, 2023, reveals the following: Policy 6. The interdisciplinary team/ group responsibilities may include but are not limited to: a. Participation in the comprehensive assessment of any patient, as dictated by the identified needs of the patient, no later than five days after admission that includes at least medical, nursing, psychosocial, and spiritual evaluations of the patient, as well as the capability of the family unit in meeting the care needs of the patient and the need for bereavement services. 1. P1 was admitted to hospice on 8/12/2024. Further review of the clinical record failed to reveal documentation from a chaplain or documentation of a spiritual assessment. 2. P10 was admitted to hospice on 8/14/2024. Further review of the clinical record failed to reveal documentation from a chaplain or documentation of a spiritual assessment. On 9/18/2024 at approximately 10:00 am, an office interview with the Director and Program Development Manager confirmed that the clinical records for P1 and P10 lacked spiritual assessments and chaplain documentation.