Every finding on record at Valley Side Hospice, Inc.

Observed in Record Review. In 3 of 5 patient records reviewed, The HCO did not ensure an initial comprehensive assessment was completed within five days of the patient electing the hospice benefit. For example, the surveyor noted on patient HV #3/RR #3, and RR #4, it was documented the patient/family refused spiritual care services, and on RR #5, the patient/family refused a psychosocial assessment; however, there was no documentation that initial spiritual care or psychosocial assessment was completed as a part of the admission comprehensive assessment. Standards require a comprehensive assessment, including psychosocial and spiritual care be completed within five days of a patient electing hospice care. These findings were reviewed, discussed, and validated with the Administrator.

Observed in Record Review. In 1 of 1 patient records reviewed, The HCO failed to ensure a bereavement plan of care was completed for the patient. For example, the surveyor noted on RR #5, there was no documentation, including an interdisciplinary team discussion, of the development of a bereavement plan of care for the patient, post death. Standards require a bereavement plan of care be developed that specifies services to be offered and delivery frequency, as a part of the organization’s bereavement services. These findings were reviewed, discussed, and validated with the Administrator.