Every finding on record at We Do Care Hospice

Upon personnel record review, 1 of 1 applicable (Personnel #8) did not have evidence in the personnel file that the following competency assessment was performed by the aide with a patient or pseudo-patient: ·Normal range of motion and positioning was verbalized and not an observed competency by the RN as required.

Upon patient client record review, 1 of 11 (Patient #11) 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 #11: The Election of Benefit (EOB) form was checked that the patient/family elected to receive “Patient Notification of Hospice Non-Covered Items, Services, and Drugs” at SOC date on 02/19/22. The “Patient Notification of Hospice Non-Covered Items, Services, and Drugs” form was completed, signed and dated on 02/15/22 which pre-dated request and SOC. This date was not consistent with notification elect/SOC date.

Upon patient client record review, 1 of 11 (Patient #7) 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 #7: The EMR generated CTI had benefit period from 07/11/22 to 10/8/22 populated in the space provided for these dates. In the physicians brief narrative, the MD indicated a benefit period from 07/11/22 to 08/20/22. This brief narrative by physician was not consistent with actual benefit period of 90 days dates.