Upon patient record review, 2 of 14 (Patient #7, 13) 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 #7-The authorization of hospice benefit date is blank on the Notice of Election of Hospice Medicare Benefits statement. #13-The authorization of hospice benefit date is blank on the Notice of Election of Hospice Medicare Benefits statement.
Every finding on record at Qualicare Hospice, Inc.
Pasedena, California · CCN B51563
1 finding across 1 survey, in the inspector's own words.
The inspector’s own words from form CMS-2567, unedited, including CMS’s own spacing. Names and some dates are redacted by CMS.
Survey of November 19, 2025
1 finding← Back to the Qualicare Hospice, Inc. record
Federal survey findings only. State licensure findings for hospices are not shown.
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