Every finding on record at Premier Care Group, Inc.

It is required that counseling services include an organized program for providing bereavement services and that the bereavement services reflect the needs of the bereaved per a bereavement plan of care that includes, the types of bereavement services to be offered and the frequency of service delivery. This standard was not met as evidenced by clinical record review, and document review. In 2 of 2 (100%) clinical records reviewed where bereavement services were required it was revealed that the agency did not ensure that bereavement services were provided per the bereavement plan of care and agency policy. Clinical Record 13: The patient elected the hospice benefit on 2/18/23. The date of death was (DOD) 6/28/23. The bereavement plan of care dated 7/11/23, included the interventions: "Assess Bereavement risk level post death". The clinical record lacked evidence that the bereavement risk assessment was updated after the patient's death or that contact was made the bereaved within 10 days as required by agency policy. The first documented bereavement contact was a letter sent on 7/28/23. Clinical Record 14: The patient elected the hospice benefit on 5/2/23. The date of death (DOD) was 5/3/23. The bereavement plan of care dated 5/17/23, included the interventions: "Assess Bereavement risk level post death." The clinical record lacked evidence that the bereavement risk assessment was updated after the patient's death or that contact was made with the bereaved within 10 days as required in agency policy. The first documented bereavement contact was a letter sent on 6/3/23. Document 1: Bereavement Services Policy: PCP-HP22 (undated) stated in relevant parts; "Procedure: "After the death has occurred, Hospice updates the initial bereavement assessment. Within 10 days the family will be introduced to the bereavement program and it's benefits."

It is required that if the care of a hospice patient is transferred to a Medicare/Medicaid certified facility, the hospice forwards to the receiving facility a copy of the hospice discharge summary described in HCDT 40.I. This standard was not met as evidenced by clinical record review and interview. In 1 of 2 (50%) clinical records reviewed where the patient was discharged to a Medicare certified facility, it was revealed that the hospice did not ensure that a copy of the hospice discharge summary was forwarded to the receiving facility. Clinical Record 11: The patient elected the hospice benefit on 4/5/23. The patient was discharged to a Medicare certified facility, a hospital, on 5/3/23 via ambulance, r/t changes in mental status. The patient was transferred and subsequently admitted to a hospital out of the agency's service area. The clinical record lacked evidence that the discharge summary created on 5/3/23 was sent to the receiving facility. In an interview and joint clinical record review conducted on 8/3/23 with the Director of Nurses (DON) they did confirm that the discharge summary was not sent to the receiving facility. They stated that they were not aware this was a requirement.