Every finding on record at Proactive Hospice Care Inc

Upon patient client record review, 1 of 5 (Patient #1) 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 1: The medication list contains an entry for a medication that is an oral tablet 500mg take 1 tab po bid with food PRN pain; however, the name of the drug is illegible on the medical list. Cross-referencing the plan of care, there is a physician's order for Tylenol 500mg with corresponding orders. (corrected onsite)