Every finding on record at Maple Hospice Inc

Upon patient record review, 1 of 14 (Patient #8) did not have evidence in the patient record that the comprehensive assessment includes a bereavement component which includes 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 is considered in the bereavement plan of care. #8-The initial bereavement assessment was conducted on day 6.

Upon observation, there was no evidence volunteers are used in day to day administrative and/or direct patient care roles. -The agency's Volunteer Cost Savings Report showed zero hours for volunteer direct patient, administrative, bereavement, or volunteer support.

Upon patient client record review, 1 of 5 (Patient #1) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Patient #1: The medical record contained a discrepancy in the documentation on the psychosocial assessment dated 8/13/22 that housework is completed by IHSS worker however the narrative of the same visit note contained documentation that the patient is not eligible for IHSS due to immigration status.