Every finding on record at Saint Care Hospice Inc

Upon patient record review, 1 of 5 (Patient #2) did not have evidence the plan of care must includes all services necessary for the palliation and management of the terminal illness and related conditions, including the following: • A detailed statement of the scope and frequency of services necessary to meet the specific patient and family needs • The IDG demonstrates a proactive approach in developing each patient's plan of care by planning ahead for anticipated patient changes and needs. Decisions should reflect the patient/family preferences rather than be solely a response to a crisis. Patient #2: The plan of care dated 12-15-23 indicated the Chaplain was offered and declined. Additionally, the assessment indicated the "patient refuses chaplain at this time." However, the Chaplain had a frequency of 1 x month written on the POC 12-15-23 and the chaplain was in fact visiting the patient.

Upon patient client record review, 5 of 5 (Patient #1,2,3,4,5) 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 #1: The Consent for Hospice Care effective 12-15-23 listed the MD name as "Kahn" but had no NPI or telephone number, and the advance directive questions were blank. Patient #2: The Consent for Hospice Care dated 12-15-23 indicated "Kahn" as the chosen MD, but the NPI and phone number were left blank. Patient #3: The Consent for Hospice Care was signed by the next of kin without indicating the reason the beneficiary was unable to sign. Additionally, "Kahn" was listed as the attending physician without completing the NPI or phone number. Patient #4: The Consent for Hospice Care dated 11-14-23 indicated "Kahn" was the chosen Physician, but the data for NPI and phone number were left blank. Patient #5: The Consent for Hospice Care dated 11-14-23 indicated "Kahn" was the chosen physician, but the data for NPI and phone number were left blank. Additionally, the same consent indicated the patient had Advance Directives, but the data fields for whether or not the patient provided copies was left blank. There was a copy of the advance directive in the patient chart.