Deficiency Index

Every finding on record at Suncrest Hospice Care LLC

Houston, Texas · CCN A91549

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 November 3, 2022

1 finding
L0533

It is required that the update of the comprehensive assessment is completed by the hospice Interdisciplinary Group, who, in collaboration with the individual’s attending physician, if any, consider the changes that have taken place since the initial assessment. The assessment update is completed no less frequently than every 15 days. This standard was not met as evidenced by a review of clinical records and interviews. 1 of 5 (20%) records reviewed revealed the hospice did not ensure that members of the Interdisciplinary Group updated the comprehensive assessment. Clinical Record 3: was reviewed and identified the patient elected hospice care on 9/01/22. The assessment updates completed by the Interdisciplinary Group on 9/9/22 and 9/23/22 were missing notes by the social worker and the chaplain. Per the plan of care, both the social worker and the chaplain are visiting the patient one time a month. During a joint review of clinical records, the alternate administrator confirmed that the notes were missing but should have been done.

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Federal survey findings only. State licensure findings for hospices are not shown.

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