Upon patient record review, 5 of 5 (Patients #1,2,3,4,5) did not have evidence that each patient record contains: • Signed election statement in accordance with 418.24 Patients #1, 2, 3: The Hospice Medicare Election statement does not provide BFCC-QIO contact information or Notice of Non Coved Items addendum information. COS. Patients#4, 5: The Hospice Medicare Election statement does not provide BFCC-QIO contact information or Notice of Non Coved Items addendum information.
Every finding on record at Americana Hospice Inc
Las Vegas, Nevada · CCN 291689
1 finding across 1 survey, in the inspector's own words.
The inspector’s own words from form CMS-2567, unedited, including CMS’s own spacing. Names and some dates are redacted by CMS.
Survey of October 15, 2024
1 finding← Back to the Americana Hospice Inc record
Federal survey findings only. State licensure findings for hospices are not shown.
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