It is required that the hospice designates a registered nurse member of the IDG to: Provide coordination of care; continuous assessment of each patient’s and family’s needs; ensure the implementation of the interdisciplinary plan of care. Hospice care and services provided to patients and families follow the individualized plan of care established by: The hospice IDG in collaboration with the attending physician (if any). This standard was not met as evidenced by a review of clinical records and interviews. 1 of 5 (20%) records revealed the hospice did not ensure the implementation of the interdisciplinary plan of care. Clinical Record 3: Patient was admitted to hospice services on 8/18/2022, The plan of care dated 8/18/2022, 8/29/2022, 9/12/2022, and 9/26/2022 contained an order for Chaplain to visit 1 time a week with 1 prn visit. No chaplain visit was documented the weeks of 8/22/2022, 8/29/2022, 9/4/2022, 9/18/2022 and 9/25/2022. During an interview and joint clinical record review on 10/4/22, the Administrator and Clinical Director were provided and confirmed the finding by stating that the order was overlooked. See below
Every finding on record at Memorial Family for Hospice and Palliative Care LLC
Missouri City, Texas · CCN A91535
1 finding across 1 survey, in the inspector's own words.
The inspector’s own words from form CMS-2567, unedited, including CMS’s own spacing. Names and some dates are redacted by CMS.
Survey of October 5, 2022
1 finding← Back to the Memorial Family for Hospice and Palliative Care LLC record
Federal survey findings only. State licensure findings for hospices are not shown.
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