Every finding on record at Lhcg Cxvii LLC

Based on record review and interview, the agency failed to ensure that the interdisciplinary group (IDG) in consultation with the individuals attending physician (if any) completed the comprehensive assessment no later than five calendar days after the election of hospice care for one of four patients (Patient #2) whose clinical records were reviewed. This failure placed Patient #2 and the patients family members at risk of negative outcomes by not having psychosocial needs assessed/identified; and coordinating resources to meet those needs. This failure could also affect the agencys 77 active clients. --- The findings included: Review of Patient #2s electronic clinical record (ECR) revealed a start of care (SOC) date of 01/31/23 and a terminal illness diagnosis of Alzheimers disease (the most common cause of dementia, a general term for memory loss and other cognitive abilities that can interfere with daily life). Further review of the ECR revealed that the Medical Social Worker (MSW) completed the psychosocial comprehensive assessment on 04/11/23 which was 69 days after the SOC. During concurrent record review and interview on 06/30/23 at 3:22 p.m., the Supervising Nurse stated, ";that she was unable to state why the MSW did not complete a comprehensive assessment and understands the importance and impact on client care when this is missed...that the IDT must assess all aspects of the patients well-being to include the psychosocial needs. And further stated that she will follow up to see why this was done late." During the exit conference the Administrator was informed of the above findings the Administrator stated that she and the and the Supervising Nurse are following up to see if there are any missed visit or coordination notes. The Surveyor informed the Administrator and Supervising Nurse that the agency had to business days to provide the documents as discussed. The following documentation for Client #2 was provided by the Administrator on 07/03/23: ";Client Coordination Note Report" dated 02/06/23, that read in part, ";SW (social worker) called patients [Client #2] daughter to attempt to complete initial psychosocial assessment...Daughter did not answer...Left a detailed message and requested for daughter to call." Further review of this document (02/06/23) revealed a handwritten statement at the bottom that read in part, ";Psychosocial assessment needs family for the patient [Client #2] non-verbal and lives in a facility." There was no signature to identify the name or title of the writer. ";Client Coordination Note Report" dated 04/11/23, that read in part, ";An MSW admission visit was conducted on this date." Review of the agencys policy titled ";Psychosocial Assessment" (Policy 2.009 revised 02/01/23), read in part, ";The social worker will complete a psychosocial assessment and plan of care for each patient no later than five days after the date of the hospice election."