Every finding on record at Mdh Hospice,The

Based on document review and interview, it was determined that for 2 of 19 (Pt #13 and Pt #16) patients, the facility failed to ensure that care coordination for social work was completed per patient Plan of Care. --- Findings include:1. A review of the record for Pt #13 indicated the Plan of Care for the initial certification period of 4/24/2025 to 6/22/2025, documented the need for social work to see the patient once per month, for three months, with 2 additional PRN (as needed) visits. The record indicated an initial visit and assessment by the social worker was completed on 4/28/2025. No additional documentation was present in the record indicating the additional required visits were completed. There were no physician orders present indicating a change in the order for social work during this certification period.2. A review of the record for Pt #16 indicated the Plan of Care for the initial certification period of 7/18/2025 to 10/15/2025, documented the need for social work to see the patient once per month, for three months, with 2 additional PRN (as needed) visits. The record indicated an initial visit and assessment by the social worker was completed on 7/21/2025. No additional documentation was present in the record indicating the additional required visits were completed. There were no physician orders present indicating a change in the order for social work during this certification period.  3. The Policy titled “Hospice Plan of Care”, effective 9/17/2025, states “All hospice services furnished to patient and their families must follow the written Plan of Care.”     4. An interview was conducted on 9/18/2025 at approximately 11:50 AM, with the Director of Home Health and Hospice, (E#5). During discussion regarding the absence of documentation of the ordered social work visits, E #5 agreed the documentation was not there and noted this was due to the visits not being completed. E #5 stated she is “currently short one social worker” and has been working diligently to hire another, to ensure the patients are receiving their needed and ordered services. E #5 stated the current social worker is working “extremely hard to try to keep up, and works long hours” on a daily basis, but also noted she is having trouble doing so. E #5 stated she has been “working with the State to get an exception to the one-year rule” regarding social work experience, and has a “new grad (graduate)” candidate that is currently awaiting licensure, that she is planning to hire.