It is required that each patient’s individualized written plan of care reflects patient and family goals; and identifies planned interventions based on problems identified in the initial and updated comprehensive assessments. This standard was not met as evidenced by clinical record review and interview. In 1 of 6 (17%) clinical records reviewed, the agency did not ensure the individualized written plan of care included planned interventions based on problems identified in the initial and updated comprehensive assessments. Clinical Record 3: The patient elected the hospice benefit on 12/04/2024. The initial nursing assessment dated 12/04/2024 included documentation that the "Patient has dysphagia. Family educated on aspiration precautions." The plan of care dated 12/04/2024 through 03/01/2025 did not include interventions for the patient’s dysphagia documented in the initial nursing assessment. During a joint record review on 12/11/2024, the Vice President of Clinical Operations confirmed the assessment included documentation of dysphagia and the plan of care did not include interventions related to dysphagia.
Every finding on record at Suncrest Hospice Cedar Rapids, LLC
Cedar Rapids, Iowa · CCN 161618
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 December 12, 2024
1 finding← Back to the Suncrest Hospice Cedar Rapids, LLC record
Federal survey findings only. State licensure findings for hospices are not shown.
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