Every finding on record at Healing Hands Palliative Hospice Inc.

Upon patient record review 1 of 6 (Patient #2) did not have evidence in the patient record that the hospice interdisciplinary group, in consultation with the individual's attending physician (if any), completed the comprehensive assessment no later than 5 calendar days after the election of hospice care. Patient #2: There was no evidence of a spiritual assessment completed within 5 days of the admission.

Upon patient record review 1 of 6 (Patient #2) did not have evidence documentation in the patient record that a hospice aide provides services that are: • Ordered by the interdisciplinary group • Included in the plan of care Patient #2: The aide care plan dated 2-14-24 indicated the task of "clean nails" was ordered. There was no evidence that the aide "cleaned nails" in the aide's documentation since the admission on 2-14-24.

Upon patient client record review, 6 of 6 (Patient #1, #2, #3, #4, #5, #6) did not have evidence that each patient record contains: • Signed election statement in accordance with 418.24 Patient #1, #2, #3, #4, #5, #6: The was no evidence in the election of benefits documentation that the NPI or address of the chosen attending MD was listed.