Every finding on record at Traditions Hospice of Woodward, LLC

Based on record review and interview, the hospice failed to ensure: 1. Completion of the initial bereavement assessment no later than 5 calendar days after the election of hospice care for three (Patients #3 and 7) of 11 patients; and 2. Completion of the initial psychosocial assessment no later than 5 calendar days after the election of hospice care for three (Patients #3 and 7) of 11 patients. Findings: Patient #3 A review of the clinical record showed an election of the hospice benefit on 06/29/22 with no completion of the initial bereavement assessment from 06/20/22 to 06/27/22 (7 days after election of the hospice benefit) and no completion of the initial psychosocial assessment from 06/20/22 to 08/05/22 (46 days after the election of the hospice benefit) with no documentation of attempts to contact the patient made by the Medical Social Worker and no patient or caregiver refusal of Medical Social Worker visits. Patient #7 A review of the clinical record showed an election of the hospice benefit on 05/26/22 with no completions of the initial bereavement assessment from 05/26/22 to 07/24/22 (59 days after the election of the hospice benefit) and no completion of the initial psychosocial assessment from 05/26/22 to 06/03/22 (8 days after election of the hospice benefit) with no documentation of attempts to contact the patient made by the Medical Social Worker and no patient or caregiver refusal of Medical Social Worker visits. On 08/05/22 at 11:00 am, Staff B stated the initial bereavement assessments and the initial psychosocial assessments were not completed within the first five days after the election of the hospice benefit for Patients #3 and 7.

Based on record review and interview, the hospice failed to ensure the plan of care was fully developed to include all services necessary for the palliation and management of the terminal illness for eleven (Patients #1, 2, 3, 4, 5, 6, 7, 8, 9, 10 and 11) of 11 patients reviewed. Findings: Patient #1 A review of the plan of care dated 04/27/22 to 06/25/22 showed no plan of care development for the services necessary for the palliation and management of the terminal illness. Documentation showed no services or treatment related to either the primary or secondary diagnoses. Patient #2 A review of the plan of care dated 05/30/22 to 08/27/22 showed no plan of care development for the services necessary for the palliation and management of the terminal illness. Documentation showed no services or treatment related to either the primary or secondary diagnoses. Patient #3 A review of the plan of care dated 06/20/22 to 09/17/22 showed no plan of care development for the services necessary for the palliation and management of the terminal illness. Documentation showed no services or treatment related to either the primary or secondary diagnoses. Patient #4 A review of the plan of care dated 05/23/22 to 07/21/22 showed no plan of care development for the services necessary for the palliation and management of the terminal illness. Documentation showed no services or treatment related to either the primary or secondary diagnoses. Patient #5 A plan of care dated 04/18/22 to 07/16/22 showed no plan of care development for the services necessary for the palliation and management of the terminal illness. Documentation showed no services or treatment related to either the primary or secondary diagnoses. Patient #6 A plan of care dated 04/28/22 to 06/26/22 showed no plan of care development for the services necessary for the palliation and management of the terminal illness. Documentation showed no services or treatment related to either the primary or secondary diagnoses. Patient #7 A review of the plan of care dated 05/26/22 to 08/23/22 showed no plan of care development for the services necessary for the palliation and management of the terminal illness. Documentation showed no services or treatment related to either the primary or secondary diagnoses. Patient #8 A review of the plan of care dated 06/16/22 to 09/13/22 showed no plan of care development for the services necessary for the palliation and management of the terminal illness. Documentation showed no services or treatment related to either the primary or secondary diagnoses. Patient #9 A plan of care dated 04/27/22 to 07/25/22 showed no plan of care development for the services necessary for the palliation and management of the terminal illness. Documentation showed no services or treatment related to either the primary or secondary diagnoses. Patient #10 A plan of care dated 06/13/22 to 08/11/22 showed no plan of care development for the services necessary for the palliation and management of the terminal illness. Documentation showed no services or treatment related to either the primary or secondary diagnoses. Patient #11 A plan of care dated 04/22/22 to 06/20/22 showed no plan of care development for the services necessary for the palliation and management of the terminal illness. Documentation showed no services or treatment related to either the primary or secondary diagnoses. On 08/05/22 at 10:50 am, Staff B stated the plans of care for Patients #1, 2, 3, 4, 5, 6, 7, 8, 9, 10 and 11 failed to include services necessary for the palliation and management of the terminal illness.