Every finding on record at Hexagon Alliance LLC

It is required that if a patient revokes the election of hospice care or is discharged from hospice per hospice regulation §418.26 (i.e., no longer terminally ill), the hospice forwards to the patient’s attending physician a copy of the hospice discharge summary and the patient's record, if requested. This standard was not met as evidenced by clinical record review and interview. In 1 of 3 (33%) clinical record reviewed of patients who were discharged from hospice revealed that the agency did not ensure that the hospice discharge summary was forwarded to the patient's attending physician. CLINICAL RECORD 13: The hospice benefit was elected on 10/13/2024 with diagnosis of Heart Failure with reduced ejection fraction. The patient revoked the hospice benefit on 02/13/2025 to seek aggressive treatment. There was no documented evidence in the clinical record that the agency provide the patient’s physician with a discharge summary. During a joint review of the clinical record with the Administrator (Personnel Record 6) on 09/04/2025, the Administrator stated that she did not see documentation indicating that the discharge summary had been sent to the attending physician.