#4: Update of Comprehensive Assessment: 42 CFR 418.54(d), Tag 0 533

The hospice failed to ensure that the update of the comprehensive assessment was accomplished by the hospice interdisciplinary group (in collaboration with the individual's attending physician, if any) and must consider changes that have taken place since the initial assessment, including information on the patient's progress toward desired outcomes and/or a reassessment of the patient's response to care. The assessment update was not completed as frequently as the condition of the patient required, but no less frequently than every 15 days.

The hospice IDG failed to update the comprehensive assessments for 5 out of 10 patients with the changes to patient's progress every 15 days.