It is required that if a patient revokes the election of hospice care or is discharged from hospice per hospice regulation §418.26 (i.e., no longer terminally ill), the hospice forwards to the patient’s attending physician: A copy of the hospice discharge summary and the patient's record, if requested. This standard was not met as evidenced by clinical record review, document review and interview. In 2 of 2 (100%) discharged clinical record reviewed revealed the agency did not ensure that the agency provided a copy of the discharge summary to the patient's attending physician. Document 1: The agency policy titled Transfer and Discharge Criteria (dated 2Q/2022) stated in part "To assist in post-discharge continuity of care, a copy of the hospice discharge summary will be forwarded to other care providers follows to the attending physician upon revocation of the hospice benefit or discharge. CLINICAL RECORD 13: The clinical record review revealed the patient was discharged on 08/30/2024. The clinical record lacked evidence that a discharge summary was sent to the attending physician upon discharge from the hospice agency. CLINICAL RECORD 14: The clinical record review revealed the patient was discharged on 11/10/2024. The clinical record lacked evidence that a discharge summary was sent to the attending physician upon discharge from the hospice agency. During an interview with the administrator on 03/12/2025 she stated that she does not know how those discharge summaries were missed.
Every finding on record at St. Marys Hospice LLC
Allen, Texas · CCN 971635
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 March 12, 2025
1 finding← Back to the St. Marys Hospice LLC record
Federal survey findings only. State licensure findings for hospices are not shown.
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