Every finding on record at Pacific Hospice LLC

Upon patient record review, 14 of 14 (Patient #1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14) did not have evidence that the patient chooses a health care provider, including an attending physician.

Upon patient record review, 2 of 14 (Patient #5 and #13) did not have evidence in the patient record that the comprehensive assessment includes a bereavement component which includes the needs of the patient's family and other individuals focusing on the social, spiritual, and cultural factors that may impact their ability to cope with the patient's death. Information gathered from the initial bereavement assessment is incorporated into the plan of care and is considered in the bereavement plan of care.

Upon patient record review 1 of 14 (Patient 3) did not have evidence documentation in the patient record that a hospice aide provides services that are included in the plan of care. The plan of care dated 6/5/2023 ordered HHA visits 2x/week. Starting the week of 6/11/2023 and continuing onward, the HHA made visits 3x/week.

Upon patient record review, 1 of 14 (Patient #14) did not have evidence that the medical director or physician designee provides written certification that it is anticipated that the patient's life expectancy is 6 months or less if the illness runs its normal course. Patient #14 did not have a written certification or narrative. The CTI stated "notes to come."

Upon patient client record review, 14 of 14 (Patient #1-14) did not have evidence that each patient record contains: Signed election statement in accordance with 418.24. Patients 1-14 did not contain the effective date of the election, nor did it contain the identification of the attending physician on the election statement form.