Amedisys Hospice

“Based on record reviews and interviews, the hospice agency failed to ensure the IDG maintained a system of communication, coordination, and integration of services for 1 (#9) of 10 (#5, #6, #7, #8, #9, #10, #11, #12, #13, and #14) patients reviewed in the sample. Review of Patient #9s Clinical record revealed she was admitted to the hospice agency on 10/08/2023 with diagnoses, which included Multiple Sclerosis, Type 2 Diabetes Mellitus, Hypertension, Pressure Ulcer-Sacral Stage 3, Colostomy Status and Need for Assistance with Personal Care. Review of Patient #9s IDG Comprehensive Assessment and Plan of Care Update Report, dated 11/22/2023 through 02/28/2024, revealed, in part, the following: 11/22/2023: Newly Identified Problems or Needs: None reported to or observed by MSW. Further review of the plan revealed no documented evidence of discussion regarding potential concerns voiced by Patient #9s sister stating Patient #9 was fearful of her daughter and granddaughter. 12/06/2023:Newly Identified Problems or Needs: None reported to or observed by MSW. Further review of the plan revealed no documented evidence of discussion regarding potential concerns voiced by Patient #9s sister stating Patient #9 was fearful of her daughter and granddaughter. 12/20/2023:Newly Identified Problems or Needs: None reported to or observed by MSW. Further review of the plan revealed no documented evidence of discussion regarding potential concerns voiced by Patient #9s sister stating Patient #9 was fearful of her daughter and granddaughter. 01/17/2024:Newly Identified Problems or Needs: None reported to or observed by MSW. Further review of the plan revealed no documented evidence of discussion regarding potential concerns voiced by Patient #9s sister stating Patient #9 was fearful of her daughter and granddaughter. 01/31/2024:Newly Identified Problems or Needs: None reported to or observed by MSW. Further review of the plan revealed no documented evidence of discussion regarding potential concerns voiced by Patient #9s sister stating Patient #9 was fearful of her daughter and granddaughter. 02/14/2024:Newly Identified Problems or Needs: None reported to or observed by MSW. Further review of the plan revealed no documented evidence of discussion regarding potential concerns voiced by Patient #9s sister stating Patient #9 was fearful of her daughter and granddaughter. 02/28/2024:Newly Identified Problems or Needs: None reported to or observed by MSW. Further review of the plan revealed no documented evidence of discussion regarding potential concerns voiced by Patient #9s sister stating Patient #9 was fearful of her daughter and granddaughter. An interview was conducted on 03/11/2024 at 3:10 p.m. with S5RN. She confirmed she provided care for Patient #9. She confirmed Patient #9 lived with and received care from her daughter and granddaughter. She confirmed Patient #9s sister told her she wanted to speak with the social worker regarding concerns of Patient #9 being afraid of her daughter and granddaughter. She confirmed she gave the request to S2SW on 11/21/2023. An interview was conducted on 03/11/2024 at 2:15 p.m. with S2SW. She confirmed she provided care for Patient #9. She confirmed on 11/21/2023, S5RN gave her a message to contact Patient #9s sister regarding concerns of the patient being fearful of her daughter and granddaughter. She confirmed during a phone conversation with Patient #9s sister on 11/21/2023, the sister reported she felt Patient #9 was afraid of her daughter and granddaughter and she was concerned. S3SW confirmed at the time of this conversation, Patient #9 lived with and received care from her daughter and granddaughter. She stated she made S1DOO aware of the conversation and should have documented this information. She stated she and S1DOO did not feel Patient #9s sisters allegations were valid so it was not discussed during IDG. An interview was conducted on 03/11/2024 to 1:30 p.m. with S4LPN. She confirmed she provided care for Patient #9. She stated she was not aware any allegations were made regarding Patient #9 being afraid of her daughter and/or granddaughter. She stated she should have been made aware of this information since she provided care to the resident. An interview was made on 03/11/2024 at 3:20 p.m. with S3RN. He confirmed he provided care for Patient #9. He confirmed he participated in IDG for Patient #9 every 2 weeks and could not recall ever being made aware of or discussing concerns regarding Patient #9s safety or potentially being fearful of her family members. He confirmed he felt he should have been made aware of any potential safety concerns regarding a patient because it would change the way he handled things during his visits. An interview was conducted on 03/13/2024 at 3:05 p.m. with S1DOO. She confirmed S2SW made her aware of Patient #9s sister reporting the patient was afraid of her daughter and granddaughter. She confirmed at the time the report was received, Patient #9 lived with and received care from her daughter and granddaughter. She stated upon being made aware, she reached out to the patient, who told her she was not fearful. She confirmed she did not document this information in Patient #9s clinical record and should have. She stated she did not discuss the allegations with Patient #9s care team during IDG because the report was received from a family member and not the patient herself.”