Based on review of records, and staff interview, it was determined the hospice Registered Nurse (RN) failed to ensure that the initial assessment was completed within 48 hours after the election of hospice care for two patients (P) (P#1, P#2) of five sampled patients --- The Findings Include: 1. Review of the document titled ";Patient Face Sheet" reveals P#1 was admitted on 5/28/2022. The start of care was dated 5/28/2022, and the initial skilled nurse assessment was completed on 6/2/2022. The clinical record lacked documentation regarding staff delay in completing the initial assessment within 48 hours. 2. Review of the document titled ";Patient Face Sheet" reveals P#2 was admitted on 2/4/2022. The start of care was dated 2/4/2022, and the initial skilled nursing assessment was completed on 2/9/2022. The clinical record lacked documentation regarding staff delay in completing the assessment. On 1/30/2024 at 11:35 a.m., an interview was conducted with the current Director of Nursing (DON). The DON revealed she was told by the previous DON, who trained her, they are able to complete the nursing admission assessment within five days. The current DON also confirmed that all surveyors were given all available documentation for the patients records.
Every finding on record at Ihc Hospice, Inc
Savannah, Georgia · CCN 111663
1 finding across 1 survey, in the inspector's own words.
The inspector’s own words from form CMS-2567, unedited, including CMS’s own spacing. Names and some dates are redacted by CMS.
Survey of January 31, 2024
1 finding← Back to the Ihc Hospice, Inc record
Federal survey findings only. State licensure findings for hospices are not shown.
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