Every finding on record at Odyssey Healthcare Operating A, LP

Upon patient record review 2 of 19 (Patient #1,10) did not have evidence in the patient record that the hospice interdisciplinary group, in consultation with the individual's attending physician (if any), completed the comprehensive assessment no later than 5 calendar days after the election of hospice care. Patient 1: No evidence that a spiritual assessment was completed within 5 days of election date. Admitted on 03/21/2024. Completed on 03/27/2024, which is 6 days after election. Patient 10: No evidence that a spiritual assessment was completed within 5 days of election date. Admitted on 01/22/2024. Assessment completed during survey, 08/01/2024.

Upon patient record review, 1 of 19 (Patient #18) 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. Patient 18: No evidence that an initial bereavement risk assessment was completed within 5 days of election of Hospice. Patient admitted on 06/13/2023, initial assessment completed on 06/20/2023, 7 days after.

Upon client record review, 1 of 19 (Patient #1) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient 1: The record showed that was an order for the foley catheter to be changed once a month. No evidence that the foley catheter was changed for the month of June 2024.

Upon patient record review 1 of 14 (Patient #5) did not have evidence documentation in the patient record that a Registered Nurse made an on-site visit to the patient's home no less frequently than every 14 days to assess the quality of care and services provided by the hospice aide and to ensure that services ordered by the hospice interdisciplinary group meet the patient's needs. Patient 5: No evidence that a Registered Nurse made an on-site visit to the patient's home every 14 days between the dates of 07/08/2024 and 07/24/2024.