Every finding on record at New Era Hospice, Inc.

Upon patient record review, 1 of 5 (Patient #03) did not have evidence in the patient record that the hospice has developed an individualized written plan of care for each patient. The plan of care must reflect patient/family goals and interventions based on the problems identified in the initial, comprehensive, and updated comprehensive assessments. The plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions. Patient#03:The patient was admitted on 11/10/23, his medication profile includes Eliquis 5mg PO BID, the plan of care does not include bleeding precautions.

Upon patient client record review, 1 of 5 (Patient #02) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Electronic signatures are acceptable as long the hospice is following appropriate safeguards to prevent unauthorized access to the patient records. Patient #02:Admission date of 12/26/23, the Consent for service and Election of Benefit contains patient's name however, it was spelled incorrectly.

Upon observation, there was no evidence the hospice has the appropriate licenses/permits required by state or local rules and regulations. There is no evidence the State of California Department of Public Health License #550007105, issue date of 04/06/23, expiration date of 10/25/23 has been renewed.