Every finding on record at Senior Life Advocacy Group LLC

Upon patient record review, 5 of 5 (Patient #1, 2, 3, 4, 5) did not have evidence that the patient chooses a health care provider, including an attending physician. Patient 1, 2, 3, 4, 5: There is no evidence that the patient or caregiver selected a health care provider/attending physician.

Upon client record review, 1 of 5 (Patient #1) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient 1: SN visits are ordered for 1 x weekly, with 1 PRN visit for symptom management needs. During the week of 02.13.2022, SN visits were made twice - on 02.14.2022 and 02.18.2022. Both SN visits were charted as routine follow up visits; nothing in the notes or narrative summaries gave any indication either of the visits were a PRN visit.

Upon patient record review, 1 of 1 applicable (Patient #3) did not have evidence in the patient record that hospice aide assignments and duties include the tasks to be provided and the frequency of those tasks. Patient 3: The hospice aide care plan, dated 02.02.2022, does not specify the frequency for tasks to be performed by the aide. The patient requires a shower, hair combed, and perineal care. (corrected onsite)

Upon patient client record review, 5 of 5 (Patient #1, 2, 3, 4, 5) did not have evidence that each patient record contains a signed election statement in accordance with 418.24. Patient 1, 2, 3, 4, 5: The election statement form in use by the hospice does not contain identification of an attending physician, nor does it contain the updates required as of 10.01.2020 related to notification of noncovered items & services and notification of the BFCC-QIO.

Upon client record review, 2 of 2 applicable (Patient #4, 5) did not have evidence that the discharge summary includes all required information. Patient 4, 5: There was no evidence in the discharge summary of a summary of the patient's stay including treatments, symptoms, and pain management.