Every finding on record at Alternative Health Services, Inc.

Based on document reviews and interviews, the agency failed to ensure there was a written agreement prior to providing care for one (1) of nineteen (19) patients reviewed. --- Findings:St Joseph Hospice "Contract Administration" policy, last revised 04/2025, states in part, "A written agreement must be in place before a third party receives or provides good and/or services, under a major contract, and must be in writing and signed by all parties to the major contract."On 11/18/2025 and 11/19/2025, nineteen (19) patients records were reviewed. This review indicated the following:Patient #1 was a resident at a skilled nursing facility;Patient #1's start of care for hospice services began on 04/29/2025;In 09/2025, the Director of Operations was asked for a copy of the service agreement;Unable to locate the agreement, a new one was drafted and sent to the skilled nursing facility; andAfter several attempts to receive the appropriate signatures, the agreement was executed fully on or about 10/14/2025.On 11/19/2025 at approximately 9:15 AM, the Director of Operations confirmed the above finding.