Every finding on record at Incare Hospice, Northern Ohio

Based on medical record review, policy review, and staff interview, the agency failed to complete an initial bereavement assessment at admission for two (#1, #4) of 13 patients whose records were reviewed. The agency census was 61. Findings include: Review of Patient #1's medical record revealed he/she was admitted to the hospice agency on 02/23/21. Patient #1's medical record contained no evidence of an admission bereavement assessment. Review of Patient #4's medical record revealed he/she was admitted to the hospice agency on 03/04/22. Patient #2's medical record contained no evidence of an admission bereavement assessment. Review of the undated policy titled "PC.B10 Bereavement Care Planning," revealed it was agency policy was to develop a hospice bereavement plan of care at the time of admission and during the provision of hospice care and when the patient died. Interview on 06/28/22 at 10:18 AM the Administrator confirmed the above findings.