Every finding on record at Pro Life Hospice Care Inc

Upon patient client record review, 1 of 5 (Patient #3) 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 3: No evidence of signature date listed on election of benefits.

Upon patient client record review, 2 of 5 (Patient #4,#5) did not evidence that each patient record contains physician orders. Patient #4: Patient revoked services on 08/17/2022. No evidence of signed MD discharge order noted on the chart. Patient #5: Patient revoked services on 08/20/2022. No evidence of signed MD discharge order noted on the chart.

Upon patient client record review, 1 of 5 (Patient #5) 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 5: Evidence of inconsistent benefit dates listed on the revocation form. 01/03/2022-04/02/2022 listed on revocation form. Benefit dates were 08/11/2022-08/20/2022.