Every finding on record at Believe Hospice Care Inc

Upon patient record review, 1 of 5 (Patient #3) did not have evidence in the patient record that the comprehensive assessment is updated including and by: • The hospice interdisciplinary group (in collaboration with the individual's attending physician, if any) • Changes that have taken place since the initial assessment • Information on the patient's progress toward desired outcomes • Reassessment of the patient's response to care • The assessment update must be accomplished as frequently as the condition of the patient requires, but no less frequently than every 15 days Patient #3: Patient admitted 05/19/2022. The record indicated that RN visits occurred on 06/02 and 06/16, however the 06/02 visit did not contain evidence of a registered nurse assessment of the patient. No evidence of an updated comprehensive assessment from 5/19-6/16/22.

Upon patient client record review, 5 of 5 records (Patient #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, #4, #5: Consents on file all showed that patient/family/representative elected to receive a copy of addendum for non-covered items and services however, no evidence was found in chart. Agency contact confirmed that these were not completed.

Upon personnel record review, 1 of 12 records (Personnel #4) did not have evidence the hospice obtained a criminal background check on all contracted individuals who have direct patient care and access to patient records. Personnel #4: The record did not have evidence of a completed criminal background.