cms_NH: 84
Data source: Big Local News · About: big-local-datasette
rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
84 | EDGEWOOD CENTRE (THE) | 305022 | 928 SOUTH STREET | PORTSMOUTH | NH | 3801 | 2017-11-15 | 278 | B | 0 | 1 | L8GV11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, it was determined that the facility failed to ensure that the MDS (Minimum Data Set) assessments were accurate with the election of the hospice benefit for 2 residents in a survey sample of 23 residents. (Resident identifiers are #4 and #7.) Findings include: Resident #4 Review on 11/14/17 of Resident #4's Significant Change MDS assessment dated [DATE] it was noted that the MDS section entitled J1400 Prognosis-Life expectancy less than 6 months is answered no. The MDS section O100 special treatments and programs in column 2. is answered with k. Hospice. A prognosis of less than 6 months life expectancy is a general prerequisite of acceptance into a hospice program and these two assessment areas should be in agreement. Interview on 11/ 15/17 at approximately 4:30 p.m. Staff B (Registered Nurse) concurred that the prognosis did not support the election of the Hospice benefit, as written. Resident #7 Review on 11/14/17 of Resident #7's Quarterly MDS assessment dated [DATE] revealed that section entitled J1400 Prognosis-Life expectancy less than 6 months was answered no. The MDS section O100 Special Treatments and Programs column 2, line K was checked the resident receiving Hospice services. A prognosis of less than 6 months life expectancy is a requirement of acceptance into a hospice program and these two assessment areas need to be in agreement. Review of Resident #7's medical record revealed that Resident #7 is receiving the hospice benefit. Interview on 11/15/17 at approximately 1:30 p.m. with Staff C (Director Of Nurses/Registered Nurse) confirmed that the prognosis did not support the election of the hospice benefit. | 2020-09-01 |