Upon patient client record review, 2 of 4 (Patient #1, #2) did not have evidence that each patient record contains a signed election statement in accordance with 418.24. Patient #1, #2: On the election statement, the patient name was signed with "son" in parenthesis. Agency staff reported that the patient was unable to sign and the patients caregiver signed. No evidence of caregivers name on election paperwork.
Every finding on record at Great American Palliative & Hospice Care, LLC
Houston, Texas · CCN 741734
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 November 22, 2021
2 findingsUpon client record review, 1 of 1 applicable (Patient #1) did not have evidence of a discharge summary.
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Federal survey findings only. State licensure findings for hospices are not shown.
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