Every finding on record at 1st Choice Home Health Care and Hospice, Inc

It is required that the written Patient Bill of Rights includes the right to voice grievances to the hospice, CHAP, or a state entity without fear of discrimination or reprisal. This standard was not met as evidenced by document review, interview and observation. In 2 of 2 (100%) home visit observations of patient's residing in a private home revealed that agency did not ensure that the Patient Bill of Rights included the right to voice grievances to CHAP without fear of discrimination or reprisal. DOCUMENT 1: The Hospice Admission Book reviewed on 06/03/2025 did not include any documented evidence that the Patient Bill of Rights included the right to voice grievances to CHAP. Additionally, there was no documented evidence that the agency provided CHAP's contact information. Home Visit 1: During the home visit (HV#1) with the Hospice Aide (PR#7) on 06/04/2025, the admission book in the home was reviewed with the daughter. There was no documented evidence that the Hospice Admission Book, including the Patient Bill of Rights provided to the family, included the right to voice grievances to CHAP. Home Visit 3: During the home visit (HV#3) with the Registered Nurse (PR#6) on 06/04/2025, the admission book in the home was reviewed with the daughter. There was no documented evidence that the Hospice Admission Book, including the Patient Bill of Rights provided to the family, included the right to voice grievances to CHAP. During a joint record review and interview on 06/05/2025, the Director of Patient Care Services agreed there was no documented evidence that the Patient Bill of Rights included the right to voice grievances to CHAP, nor did the agency provide CHAP's contact information. Additionally, the Director of Patient Care Services stated, "We must have missed updating the admission books. We will get these updated and provide a copy to the patient's right away."

It is required that if a patient revokes the election of hospice care or is discharged from hospice, the hospice forwards to the patient’s attending physician: A copy of the hospice discharge summary. This standard was not met as evidenced by clinical record review and interview. In 3 of 3 (100%) clinical records of discharged patients reviewed revealed the agency did not ensure that a discharge summary was sent to the patient's attending physician. CLINICAL RECORD 11: The patient elected the hospice benefit on 02/04/2023 and discharged no longer terminally ill on 01/23/2025. There was no documented evidence that the discharge summary was sent to the attending physician. CLINICAL RECORD 13: The patient elected the hospice benefit on 10/18/2024 and completed a revocation on 10/21/2024. There was no documented evidence that the discharge summary was sent to the attending physician. CLINICAL RECORD 14: The patient elected the hospice benefit on 03/04/2025 and completed a revocation on 04/07/2025. There was no documented evidence that the discharge summary was sent to the attending physician. During a joint record review and interview on 06/05/2025, the Director of Patient Care Services agreed there was no documented evidence that the discharge summary was sent to the attending physician. Additionally, the Director of Patient Care Services stated, "We need to update our process to document when these are sent."