Every finding on record at Victoria Hospice Care Inc.

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 Patients #1, #2, #3, #4, #5. Election of Benefit documents states availability of BFCC-QIO but does not provide name of BFCC-QIO nor the phone number. Patients #2, #3, Patient Notification of Hospice Non-Covered Items, Services, and Drugs form was requested at start of care, but no evidence that the form was provided within timely manner.

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 Agency provided patient individualized plan of care and home printed medication list not legible for patient to review.