Every finding on record at Traditions Hospice of South Houston LLC

Observed in Record Review. In 1 of 16 patient records reviewed, the interdisciplinary group did not complete the comprehensive assessment within five days of the election of the hospice benefit. In the record of HV#1 the bereavement assessment was documented 7 days after admission, and the psychosocial assessment was documented 23 days following admission. There was no rationale for these delays in the record. In addition, the psychosocial assessment was conducted by telephone instead of in person as required by the Patient Assessment policy. This was confirmed by the Branch Director and the Regional Administrator.

Observed in Record Review. In 12 of 14 patient records reviewed, the surveyor found that interdisciplinary meeting notes did not include revised comprehensive assessments that consistently documented decline, or progress towards desired outcomes. Nor was there documentation of clinicians’ plans for the following two weeks. This was confirmed by the Branch Director and the Regional Administrator.