Every finding on record at Signature Hospice Inc

Upon patient record review, 2 of 5 (Patient #1,3) 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. Patient #1,3 - The record indicated that the one of the patient's children were the primary CG and a bereavement risk assessment was completed with that person. Documentation revealed that each patient had a spouse that they lived with, but there was no evidence of a bereavement risk assessment completed for the spouses upon admit.

Upon patient record review, 1 of 5 (Patient #5) did not have evidence that the medical director or physician designee provides written certification that included the patient's terminal diagnosis. Patient #5 - The record indicated in the initial visit nurse's note, the admission order, and on the CTI (all dated 8/17/21) that the patient's primary terminal diagnosis was Parkinson's Disease. The physician in the CTI narrative note dated 8/17/21 said "Pt presents with terminal illness such as Heart Disease." There was no evidence in the CTI physician narrative note that the patient's terminal diagnosis was Parkinson's Disease.