Every finding on record at Oak Hospice Care Inc.

Upon patient record review, 1 of 5 (Patient #2) did not have evidence that the patient chooses a health care provider, including an attending physician. Patient #2: There was no evidence of who the physician of choice was on the Hospice Election Form, section for name was blank.

Upon patient record review 1 of 5 (Patient #4) did not have evidence in the patient record that the comprehensive assessment identifies the physical, psychosocial, emotional, and spiritual needs related to the terminal illness that must be addressed in order to promote the hospice patient's well-being, comfort, and dignity throughout the dying process. Patient #4: There was no Psychosocial Comprehensive Assessment completed. There is a social services screening completed by the nurse which states that there was financial needs and would be referred to the MSW.

Upon observation, there was no evidence the hospice follows acceptable standards of practice to prevent the transmission of infections and communicable diseases, including standard precautions Patient #1: The Chaplain did not wash her hands upon arrival to the personal care home and holding/shaking the other residents hands during the visit prior to the patient.

Upon patient client record review, 1 of 5 (Patient #2) 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 #2: There was no evidence of who the physician of choice was on the Hospice Election Form, section for name was blank.