Penalty

Fine: $61,4258 days payment denial

The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to develop and implement an integrated hospice care plan for a resident who was admitted with acute respiratory failure, high blood pressure, Alzheimer's disease, and dementia, and who was receiving hospice services. Although the hospice company had developed a care plan, the facility's own care plans did not include a plan for hospice services or outline coordination between the facility and the hospice provider. This omission was confirmed during an interview with the Director of Nursing, who acknowledged that a facility care plan indicating hospice status and coordination should have been in place. Review of facility policy also indicated the requirement for a comprehensive, person-centered care plan with measurable objectives and timeframes to meet the resident's identified needs.