Upon patient client record review, 1 of 11 (Patient #10) did not have evidence that each patient record contains: • Signed election statement in accordance with 418.24 Patient #10: On the Election Statement form, the patient/family check-marked the box that they elected to receive the “Patient Notification of Hospice Non-Covered Items, Services, and Drugs”. There was no evidence in the chart that this notification form had been provided within 5 day requirement of the SOC.
Every finding on record at Certified Hospice, Inc.
Lancaster, California · CCN 921768
2 findings 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 April 12, 2022
2 findingsUpon observation, there was no evidence the hospice has a mechanism to ensure that orders are only accepted from non contracted licensed physicians. 1 of 11 clinical records reviewed had a non-contracted physician as attending MD. There was no evidence that hospice verified this physician's licensing status at referral/SOC.
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Federal survey findings only. State licensure findings for hospices are not shown.
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