Accolade Hc Of Paxton On Pells

was still in the room.On [DATE] at 11:10 AM, V2, Director of Nursing, confirmed that R1 had expired on [DATE] at 11:52 AM and that the funeral home was not notified until [DATE] at 10:05 AM to remove R1's remains. V2 stated that the facility should have communicated with V12, Hospice Registered Nurse, to ensure that hospice had notified the funeral home. V2 stated that there was no documentation in R1's chart indicating that R1's remains were removed from the facility until [DATE].Prior to the survey date of [DATE], the facility took the following actions to correct the non-compliance:On [DATE], R1 expired at the facility under hospice care at 11:52 AM.On [DATE], the Quality Assurance Committee developed a Plan of Correction for the [DATE] incident and a Performance Improvement Plan.On [DATE], the Director of Nursing and Administrator provided in-service education to nursing staff on documentation and communication requirements for end-of-life care, after-death care, the death checklist, midnight census procedures, and shift-to-shift reporting following a death.On [DATE], the facility standardized communication pathways with hospice, the funeral home, and the coroner.Starting on [DATE], the Director of Nursing and/or designee began auditing resident end-of-life documentation, the funeral home/coroner notification log, shift-to-shift handoff reports, and after-death care after every resident death for one month.The facility QAPI Committee will continue to monitor performance to ensure corrective actions related to the [DATE] incident are effective.Completion date of substantial compliance: [DATE].

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