Every finding on record at Adventist Midwest Health

Based on a review of the Hospice's admission folder, observation during home visits and staff interview, it was determined the Hospice failed to provide Pts. with information regarding the Hospice's policies and state law regarding Advance Directives. This was found in 19 of 19 (Pts. #1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18 and 19) clinical records reviewed. --- Findings include: 1. The Hospice's admission folder was reviewed on 1/29/24. The folder lacked documentation pertaining to the state law on Advance Directives and the Hospice's policies concerning Advance Directives. 2. The following home visits were conducted on 1/29/24 and 1/30/24: Pt. #1. SOC 12/2/23. Pt. #2. SOC 12/27/23. Pt. #3. SOC 12/29/23. Pt. #4. SOC 12/13/23. During the home visits, the patient's admission folder was observed and lacked documentation the Pt./patient's legal guardian received information, related to the state law on Advance Directives and the Hospice's policies concerning Advance Directives. 3. The following clinical records were reviewed from 1/30/24 to 1/31/24: Pt. #1. SOC 12/2/23. Pt. #2. SOC 12/27/23. Pt. #3. SOC 12/29/23. Pt. #4. SOC 12/13/23. Pt. #5. SOC 5/6/23. Pt. #6. SOC 1/23/24. Pt. #7. SOC 12/3/23. Pt. #8. SOC 12/15/23. Pt. #9. SOC 8/11/22. Pt. #10. SOC 11/24/23. Pt. #11. SOC 12/13/23. Pt. #12. SOC 9/13/21. Pt. #13. SOC 1/7/24. Pt. #14. SOC 1/16/24. Pt. #15. SOC 8/3/23. Pt. #16. SOC 2/5/23. Pt. #17. SOC 2/15/23. Pt. #18. SOC 1/2/24. Pt. #19. SOC 11/1/23. The records lacked documentation the Pt./patient's legal guardian received information, related to the state law on Advance Directives and the Hospice's policies concerning Advance Directives. 4. During an interview with the Director of Hospice on 1/31/24 at 2:00 PM, the Director of Hospice confirmed the Hospice failed to provide Pts. with information on the Hospice's policies and the state law regarding Advance Directives.