Every finding on record at Shepherd Home Health & Hospice, LLC

Based on record review and interview, the hospice failed to ensure completion of the initial bereavement assessment no later than 5 calendar days after the election of hospice care for three (Patients #9, 10 and 11) of 14 patients. --- Patient #9 A review of the clinical record showed an election of the hospice benefit on 02/27/25 with no completion of the initial bereavement assessment from 02/27/25 to 03/25/25 (26 days after the election of the hospice benefit) with no documentation of patient or caregiver refusal of the initial bereavement risk assessment. Patient #10 A review of the clinical record showed an election of the hospice benefit on 01/17/25 with no completion of the initial bereavement assessment from 01/17/25 to 03/25/25 (67 days after the election of the hospice benefit) with no documentation of patient or caregiver refusal of the initial bereavement risk assessment. Patient #11 A review of the clinical record showed an election of the hospice benefit on 01/20/25 with no completion of the initial bereavement assessment from 01/20/25 to 03/25/25 (64 days after the election of the hospice benefit) with no documentation of patient or caregiver refusal of the initial bereavement risk assessment. On 03/25/25 at 3:00 pm., Staff B stated the initial bereavement assessment was not completed for Patients #9, 10 and 11.

Based on record review and interview, the hospice failed to ensure the plan of care was fully developed to reflect individualized services in relation to the terminal diagnosis for one (Patient #1) of 11 patients reviewed. Findings: Patient #1 A plan of care dated 01/21/22 to 03/21/22 documented a terminal diagnosis of senile degeneration of the brain with interventions which included educating patient on disease effect on Environment Safety, disease effect on effect on Neurological and disease effect on cardiovascular. The plan of care documented goals which included the patient verbalizing or demonstrating understanding of disease effect on environmental safety, disease effect on neurological and disease effect on cardiovascular issues. On 05/20/21 at 10:50 am, Staff B stated the plan of care documented inappropriate interventions and goals in relation to the disease process.