Every finding on record at Alleviate Hospice Care Inc

Upon patient record review, 2 of 13 (Patient #2, 3) did not have evidence the plan of care must includes all services necessary for the palliation and management of the terminal illness and related conditions, including the following: • A detailed statement of the scope and frequency of services necessary to meet the specific patient and family needs • The IDG demonstrates a proactive approach in developing each patient's plan of care by planning ahead for anticipated patient changes and needs. Decisions should reflect the patient/family preferences rather than be solely a response to a crisis. Patient 2, 3:Visit orders for the MSW were established on a PRN only basis. (corrected onsite)

Upon patient client record review, 1 of 13 (Patient #3) did not have evidence that each patient record contains: • Signed election statement in accordance with 418.24 Patient 3: The signed election statement failed to indicate the effective date for the initiation of hospice services.

Upon client record review, 8 of 13 (Patient #4, 5, 6, 9, 10, 11, 12, 13) did not have evidence that if a patient revokes the election of hospice care or is discharged from hospice in accordance with §418.26, the hospice must forward to the patient's attending physician: • A copy of the hospice discharge summary • The patient's clinical record, if requested Patient #4, 5, 6, 9, 10, 11, 12, 13: On hospice discharge due to revocation, there was no evidence the hospice forwarded the discharge summary to the patient's attending physician.