Deficiency Index

Every finding on record at Alive Hospice, Inc.

Nashville, Tennessee · CCN 441501

2 findings across 2 surveys, 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 August 11, 2023

1 finding
L0728

Observed in Building Tour. During the building tour of the Residence in Nashville, the Hospice surveyor noted that an exit sign leading to the smoking gazebo and on exiting the laundry area, did not have the proper exit signage. The exit signs read Not An Exit should be No Exit. This was validated in a discussion with and observation by the Facilities Director and the Director of Clinical Care. Observed but corrected before the survey exit. This finding was observed during survey activity, but corrected onsite prior to the surveyor's departure. The corrective action taken needs to be included in the organization's Evidence of Standards Compliance submission.

Survey of November 10, 2022

1 finding
L0728

Observed in Building Tour. The surveyor observed that the piping for approved automatic sprinkler systems was supporting other items. For example, there was a coiled conduit and venting equipment resting on the sprinkler pipe. This observation was reviewed with the Facilities Manager. This finding was observed during survey activity, but corrected onsite prior to the surveyor's departure. The corrective action taken needs to be included in the organization's Evidence of Standards Compliance submission.

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

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