Every finding on record at Metro Palliative & Hospice Care Inc

It is required that the hospice inform the patient of his or her rights and responsibilities, and the hospice defines, protects, and promotes the exercise of these rights. This standard was not met as evidenced by an interview and a review of documents provided to patients at the time of admission. In 8 of 8 (100%) clinical records reviewed, it was revealed the HIPAA Notification of Privacy Practices does not state the right to opt of fundraising communications [Clinical Record #s 22474; 47511; 17455; 75131; 23453; 28641; 85985; 89782]. During an interview on 1/12/22,the administrator confirmed this finding.

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 the comprehensive assessments were not completed. Clinical Record #85985: The record does not contain a spiritual assessment as part of the comprehensive assessment. Clinical Record #23453: The record does not contain a psycho/social assessment as part of the comprehensive assessment. During an interview on 1/12/22, the administrator confirmed these findings.

It is required that the hospice obtains a criminal background check on all hospice employees who have direct patient contact or access to patient records. This standard was not met as evidenced by personnel record reviews and interview. In 1 of 10 (10%) personnel records reviewed, it was revealed the hospice did not obtain a criminal background check on an employee who has direct patient contact or access to patient records. Personnel Record #20455: The date of hire is 6/29/2020. The personnel record contains a background check completed on 2/23/2020, 4 months prior to the date of hire. During an interview on 1/12/22, the administrator confirmed these findings.