Every finding on record at Luminos Opco 3 LLC

It is required that the hospice Interdisciplinary Group, in consultation with the individual's attending physician (if any), completes an initial comprehensive assessment no later than five (5) calendar days after the election of hospice care, in accordance with CMS §418.24–the elements of the hospice care election statement. This standard was not met as evidenced by clinical record review and interview. In 2 of 8 (25%) clinical records reviewed, it was revealed that the agency did not ensure the initial comprehensive assessment, including the psychosocial assessment, was completed no later than five calendar days after the election of hospice care. Clinical Record 5: The Patient's date of election was 02/28/2024. The patient's date of death was 03/31/2024. The social services admission note dated 02/29/2024 stated in part, "Social worker called patient to schedule an appointment and the patient declined an initial assessment or any reoccurring visits at this time. Nursing to coordinate care and initiate social work services if applicable in the future." The initial nursing assessment dated 02/28/2024 lacked a psychosocial assessment. The clinical record lacked evidence that a psychosocial assessment occurred at admission or at any time during the course of care. Clinical Record 6: The patient's date of election was 04/02/2024. The psychosocial assessment was completed on 04/08/2024 (6 days late). During a joint clinical record review and interview on 07/24/2024, the Director of Nursing confirmed that the initial comprehensive assessment, including the psychosocial assessment, was not completed no later than five calendar days after the election of hospice care.