Documentation Integrity

The documentation gaps surveyors actually find — caught while you can still fix them.

We looked at every hospice survey in the United States from October 2021 through March 2026 — 86,113 citations at 7,448 hospices. The same handful of documentation failures come up again and again.

57%
of hospices surveyed were cited for plan of care content
48%
cited for what the comprehensive assessment contains
28.8%
cited for clinical record content
19%
cited for documents unsigned or signed late

Source: CMS hospice survey data, October 2021 – March 2026. 7,448 hospices, counted by the CFR paragraph each citation names. The most cited requirement, plan of care content (42 CFR 418.56(c)), reached 57.2% of surveyed hospices on its own. See the full ranking.

What ComplyWell checks

Four checks, run against every chart, every day

Each one maps to a specific finding in the national survey data — and each runs on the structured record, not on guesswork.

Unsigned visit notes

The visit happened, the signature did not

ComplyWell reads the signature date on every visit in your export and names the ones still unsigned, with the clinician and the date of the visit, while the note is still fresh enough to sign.

Why it matters: an unsigned note is not evidence, however good the care behind it was.
Assessment on time

The comprehensive assessment inside five days

ComplyWell compares the date the comprehensive assessment was completed with the election date, and flags any patient still without one as the fifth day approaches — before the chart is closed and forgotten.

Cited at 17% of hospices surveyed for the five-day timeframe.
Plan of care coverage

A discipline visiting without an order

ComplyWell compares who actually visited against what the plan of care ordered. If a social worker is seeing the patient monthly but the plan of care never specifies that frequency, that is a citation waiting to happen — and it falls under the most cited requirement in the national data.

Cited at 57% of hospices surveyed — more than any other requirement.
Closure and signatures

Notes still open, signatures still missing

ComplyWell tracks which notes are unsigned, how long they have been open, and who owes them — then nudges that clinician directly rather than routing it through the administrator.

Cited at 19% of hospices surveyed for authentication alone.

57% of hospices were cited for plan of care content alone.

See which ones your agency is exposed to, on your own workflow.

Get Your Free Compliance Check See pricing