Every finding on record at Comfor Care Hospice Inc

Upon patient client record review, 1 of 5 (Patient #2) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Electronic signatures are acceptable as long the hospice is following appropriate safeguards to prevent unauthorized access to the patient records. Patient 2: LPOST blank with no instructions chosen by patient. LPOST signed by both the patient and the Medical Director. Corrected on site. Plan of Care has "Admit to Peaceful Mind Hospice" listed within admission orders. Corrected on site.

Upon personnel record review, 4 of 14 (Personnel #1,3,4,11) did not have evidence that personnel credentialing activities are conducted to verify qualifications of all credentialed/licensed personnel in the positions they hold at the time of hire, at renewal or in accordance with specific state practice act requirements. Record 1: LVN license not in HR file. Corrected on site. Record 3: RN state license expired 11/30/2022. Corrected on site. Record 4: RN state license expired 12/31/2022. Corrected on site. Record 11: OT state license not in HR file. Corrected on site.