Every finding on record at Interim Healthcare Hospice of Indiana Inc

It is required that the comprehensive assessment includes an initial bereavement assessment of the needs of the patient's family and other individuals, focusing on the social, spiritual, and cultural factors that may impact their ability to cope with the patient's death. Information gathered from the initial bereavement assessment is incorporated into the plan of care and considered in the bereavement plan of care. This standard was not met as evidenced by clinical record review and interview. In 1 of 19 (5%) clinical records reviewed, the agency did not ensure that an initial bereavement assessment was completed. Clinical Record 6: The patient elected hospice care on 10/20/2024 with a diagnosis of malignant neoplasm of the colon. The bereavement assessment on the Skilled Nursing (SN) assessment tool completed on 10/20/2024 was left blank and documented as "Not Done." The Chaplain assessed the patient on 10/24/2024 but did not complete the bereavement assessment. The Social Worker assessed the patient on 10/21/2025 but did not complete the bereavement assessment. A bereavement risk assessment was completed on 11/27/2024, with 38 days outstanding. The Administrator reviewed the clinical record on 12/16/2024 and confirmed the finding. The Administrator stated, "I am not sure who that got through, but it did."