Based on clinical records review, policy review and staff interview, it was determined the Hospice failed to ensure an initial bereavement assessment was conducted. This was found in 9 of 17 (Pts. #1, 3, 6, 7, 8, 9, 12, 18 and 19) clinical records reviewed. --- 1. Clinical Records were reviewed on 07/11/2023 through 07/13/2023. The clinical records lacked initial bereavement assessments for the following patients Patient #1 SOC 03/02/2023 Patient #3 SOC 06/22/2023 Patient #6 SOC 06/20/2023 Patient #7 SOC 10/11/2022 Patient #8 SOC 03/25/2023 Patient #9 SOC 03/04/2023 Patient #12 SOC 03/22/2023 Patient #18 SOC 05/14/2022 Patient #19 SOC 06/20/2022 During an interview with the Administrator on 07/13/2023 at 12:45 PM, she stated bereavement assessments were not documented and the hospice is working on educating the staff. 2. The Hospice policy titled ";Bereavement Assessment" was reviewed on 07/13/23 at 12:30 PM and included: ";... PROCEDURE 1. On admission, the social worker or hospice registered nurse will complete a bereavement risk assessment that is given to the Bereavement Coordinator..." 3. During an interviews with the Administrator and Clinical Supervisor on 07/12//2023 at 2:30 PM and on 07/13/2023 beginning at 12:45 PM, the above findings were confirmed.
Every finding on record at Providence Hospice
Homer Glen, Illinois · CCN 141609
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 14, 2023
1 finding← Back to the Providence Hospice record
Federal survey findings only. State licensure findings for hospices are not shown.
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