Deficiency Index

Every finding on record at Abl Hospice LLC

Daly City, California · CCN D61527

3 findings across 1 survey, in the inspector's own words.

The inspector’s own words from form CMS-2567, unedited, including CMS’s own spacing. Names and some dates are redacted by CMS.

Survey of May 17, 2024

3 findings
L0547

Upon patient record review, 2 of 11 (Patient #2, 10) did not have evidence the plan of care must includes all services necessary for the palliation and management of the terminal illness and related conditions, including the following: • A detailed statement of the scope and frequency of services necessary to meet the specific patient and family needs Patient #2, 10: The plan of care included an order for "spiritual care as needed" without an established order frequency.

L0579

Upon observation, there was no evidence the hospice follows acceptable standards of practice to prevent the transmission of infections and communicable diseases, including standard precautions. Patient #1: During the home visit the SN left bag unzipped and open during the visit. Patient #2: During home visit the SN placed the used dirty equipment back on the clean area with other clean equipment after use.

L0673

Upon patient client record review, 3 of 11 (Patient #7, 8, 11) did not have evidence that each patient record contains: • Signed election statement in accordance with 418.24 Patient #7, 11: The patient requested the Notice of non-covered items, services and drugs at the start of care, but there was no evidence the notice was provided. Patient #8: The notice of non-covered items, services and drugs was requested and provided to the patient on 12/14/23, but the document was left blank.

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Federal survey findings only. State licensure findings for hospices are not shown.

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