Every finding on record at Lifeline Hospice Care Inc

Upon patient record review, 4 of 6 (Patient #1,3,4,5) did not have evidence the plan of care must includes all services necessary for the palliation and management of the terminal illness and related conditions, including the following: • A detailed statement of the scope and frequency of services necessary to meet the specific patient and family needs • The IDG demonstrates a proactive approach in developing each patient's plan of care by planning ahead for anticipated patient changes and needs. Decisions should reflect the patient/family preferences rather than be solely a response to a crisis. Patients 1,3,4,5: SW and SC only have PRN as needed orders on the active plan of care. No evidence of routine visits on plan of care. No evidence of a frequency for PRN visits. This is not a detailed statement of the scope and frequency of services necessary to meet the specific patient and family needs. Active charts corrected during survey.

Upon patient client record review, 2 of 6 (Patient #1,4) did not have evidence that each patient record contains: • Signed copies of the notice of patient rights in accordance with 418.52 • Signed election statement in accordance with 418.24 Patient #1: No evidence that the effective date of election was added to the signed election statement. Patient #4: No evidence that the effective date of election was added to the signed election statement.