Deficiency Index

Every finding on record at Moments Hospice of Milwaukee, LLC

Mt. Pleasant, Wisconsin · CCN 521605

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 July 7, 2023

1 finding
L0781

It is required that the designated IDG member provides the SNF/NF or ICF/IDF with the following information for each patient/resident, the most recent hospice plan of care. This standard was not met as evidenced by interview and observation. In 1 of 1 (100%) observation during a home visit, the patient binders were reviewed in a skilled nursing facility, revealing that the hospice failed to supply the most recent care plan for the patient and facility staff. Home Visit 3: The patient was admitted to hospice services on 7/28/2022 with a diagnosis of Alzheimer's Disease. This patient is a resident in a skilled nursing facility. Upon review of the patient's hospice binder in the facility, there was no evidence of a current plan of care. The most recent plan of care was effective 5/26/2023. In a discussion, the Team Manager discussed how these plans of care get to the facility. They are faxed, and the SNF staff will put them in the patient binder. After a conversation between the Team Manager and SNF staff, it was discovered that the faxed plans of care are being saved in a folder on the Administrator's computer. As a group, we discussed how this process was ineffective for all staff to access the hospice plan of care. The Team Manager discussed this task's new process and staff education.

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Federal survey findings only. State licensure findings for hospices are not shown.

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