Every finding on record at The Angels of Haven Hospice Care Inc

Upon client record review, 1 of 5 (Patient #2) did not have evidence that the IDG in collaboration with the attending physician reviewed, revised and documents the individualized plan as frequently as the patient's condition requires but no less frequently then every 15 calendar days. Patient #2: The IDG dates did not meet frequency of every 15 days. The initial IDG was on 3/29/22 and the next IDG occurred on 4/14/22 which was greater than 15 day requirement.

Upon patient client record review, 1 of 5 (Patient #2) 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 #2: The MSW opened the initial 5 day psych/social assessment on 3-30-22. However, the note was not signed electronically until 4/30/22. The documentation was not clearly dated when the actual assessment occurred.