Every finding on record at New Beginnings Hospice Inc.

Upon patient record review, 1 of 4 (Patients #2) did not contain evidence that the IDG, in collaboration with the Attending Physician if any, had reviewed, revised and documented the individualized Plan of Care as frequently as the patient's condition requires, but no less frequently then every 15 calendar days: Patient #2: SOC 09/08/22. The first IDG Meeting was held on 09/08/2022. The next IDG Meeting should have occurred no later than 09/23/2022. There was no further IDG Meeting/POC update documented, up to and including the date of discharge 09/27/2022. Patient #4: SOC 05/24/22. The first IDG Meeting was held on 05/24/2022. The next IDG Meeting should have occurred no later than 06/08/2022. There was no further IDG Meeting/POC update documented, up to and including the date of discharge 06/11/2022.

Upon patient record review, 1 of 4 (Patient #1) did not contain evidence that each record contained: A signed Election of Hospice Benefit Statement, in accordance with 418.24: Patient #1: SOC 09/01/2025. During Surveyor-attended home visit on 09/03/2025, the patient showed Surveyor his Medicare A/B card, and his AARP/United Medicare Supplement cards. During clinical record review, it was noted that the patient had not signed/dated an Election of Hospice Benefit Statement. The Alternate Administrator reported that the Hospice had decided to provide Pro Bono Hospice care/services to this patient. The admitting nurse had made a note on the bottom/end of the EOB that the content had been reviewed with the patient, but not signed, as the Hospice would not be billing the patient's Medicare benefit.

Upon Inpatient Contract review, 1 of 4 (Silver/GIP/RIP) did not contain verbiage requiring that a copy of the patient's Discharge Summary must be provided to the Hospice at the time of discharge from any inpatient care/services stay. Corrected on site.