Every finding on record at Kindstar Inc

It is required that the hospice discharge summary provided to a facility receiving a hospice patient for care—or to the patient’s community attending physician upon hospice discharge—includes at least the following: a summary of the patient’s hospice stay, including treatments, symptoms, and pain management; the patient’s current plan of care; the patient’s latest physician orders; and, any other documentation that will assist in the post-discharge continuity of care or that is requested by the receiving facility or the attending physician. This standard was not met as evidenced by review of clinical records and interview. In 3 of 4 (75%) clinical records of live discharge patients, it was revealed that no documentation was present to support a discharge summary was sent to the attending physician or facility receiving the hospice patient [Record #s 71777; 88678; 57248]. On interview, the Administrator confirmed this finding and agreed discharge summaries were not sent to the attending physician or facility receiving the hospice patients.

It is required that the plan of care identifies the IDG’s finding regarding safe self-administration and/or family administration of drugs and biologicals. If the patient and/or family cannot administer drugs or biologicals, it is noted in the plan of care, as well as how it is addressed by the IDG. This standard was not met as evidenced by clinical record review and interview. In 13 of 13 (100%) clinical records reviewed it was revealed that the records did not contain the IDG determination of ability of the patient/family to safely self-administer drugs and biologicals to the patient in the home [Records #s 59360; 59509; 71777; 39358; 11674; 85484; 88768; 77706; 35557; 57248; 64312; 11681; 89904]. The Administrator confirmed this finding and agreed the IDG did not document on the plans of care the determination of the patient/family to safely self-administer drugs and biologicals to the patient in the home.