Every finding on record at On Call Hospice Care, Inc.

Upon patient record review, 3 of 14 (Patient #4, #5 and #8) did not have evidence that the patient chooses a health care provider, including an attending physician. Patient #4: The attending physician selected on the election of benefit stated that they "did not want to follow the patient" on the CTI form dated 3/1/2023. There was no evidence of a new attending physician selected for the patient. Patient #5 and #8 - Did not have the attending physician listed on the election of benefit form. This section of the form was left blank.

Upon patient record review, 2 of 14 (Patient #1 and 3) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including equipment and supply needs. Patient 1 The current plan of care stated that the patient has 1/2 rails, but during the home visit, the patient was noted with full rails. Patient 3: Did not have hospital bed listed on the current plan of care. Upon observation during the home visit, the patient was noted with a hospital bed with full rails.

Upon personnel record review, 1 of 13 (Personnel #1) did not have evidence that the administrator had a signed job description on file.

Upon patient client record review, 3 of 14 (Patient #4, 5, 8) 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 #4: The attending physician selected on the election of benefit stated that they "did not want to follow the patient" on the CTI form dated 3/1/2023. There was no evidence of a new attending physician selected for the patient. Patient #5 and #8 - Did not have the attending physician listed on the election of benefit form. This section of the form was left blank.