Every finding on record at Southside Community Hospital Inc

Based on clinical record review and staff interview, it was determined the agency staff failed to update the hospice interdisciplinary group (IDG) with any changes to the patients comprehensive assessment that have taken place since the most recent assessment. Specifically, the agency Registered Nurse failed to document any current changes to the IDG to make accurate care planning decisions for one (1) of (19) clinical records in the survey sample (Clinical record for Patient #12). --- Findings The clinical record for Patient #12 was reviewed for the certification of May 29, 2024, to July 28, 2024. The clinical record indicates that the patient has not experienced pain, eating three meals a day at 100% and has improved during hospice. The IDG meeting of July 25, 2024 indicated all core disciplines attended the meeting for Patient #12 including the Registered Nurse (Staff Member #8) according to the sign in sheet. The clinical record failed to contain documentation from Staff Member #8 at the IDG meeting of July 25, 2024. On January 16, 2025, at 11:45 AM, Staff Member #1 revealed the agency had self-identified issues with not entering IDG notes right after the meeting and Staff Member #8 did not do this as instructed so the note was omitted. The hospice Staff Member #8 failed to update the hospice IDG meeting of July 25, 2024.