Observed in Record Review. In 11 of 13 patient records reviewed, the organization failed to assess according to regulation. During record review for RRHV#1, RRHV#2, RRHV#3, RRNHV#1, RRNHV#2, RRNHV#3, RRNHV#4, RRNHV#5, RRBR#1, RRBR#2 and RRDC#1, the Surveyor observed there was no documentation of a bereavement assessment at time of survey. Also in the same records, the spiritual care assessment was not completed. Upon conversation with the Hospice Director, it was noted there was a sudden change in spiritual care/ bereavement coordinator and new staff were documenting narrative notes which did not capture the full assessments. This was discussed and reviewed with the Director of Hospice.
Every finding on record at True Blue Hospice, LLC.
Saint Marys, Ohio · CCN 361749
2 findings 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 October 16, 2025
2 findingsObserved in Record Review. In 2 of 2 patient records reviewed, the organization failed to plan the patient's care. During record review for RRBR#1 and RRBR#2, the Surveyor observed the organization failed to document a bereavement plan of care. This was discussed and reviewed with the Hospice Director.
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Federal survey findings only. State licensure findings for hospices are not shown.
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