Deficiency Index

Every finding on record at Allay Hospice Care Inc

Sunland, California · CCN B51696

1 finding 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 19, 2023

1 finding
L0702

Observed in Record Review. In 2 of 2 patient records reviewed with oxygen, During HV# 1 and RR# 5's patient records review it was noted the organization had not ensured it provided the entire procedures to follow if care, treatment, or services are disrupted by a natural disaster or an emergency. For example: Review of HV# 1 and RR# 5's Patient Consent forms revealed a checked box that both HV# 1 and RR# 5 received education on their Individual Emergency Plans. Review of HV# 1’s plan of care revealed oxygen at 2l prn. During HV# 1's home observation an oxygen concentrator was observed in the home. However, review of HV# 1's home folder revealed an Individual Emergency Plan with no documentation regarding oxygen and review of HV# 1's patient record revealed an Individual Emergency Plan with no documentation of oxygen. Review of RR# 5's plan of care revealed oxygen at 3L prn. However, review of the Individual Emergency Plan revealed no documentation of oxygen. This was reviewed, discussed, and validated with the Administrator/Director of Patient Care Services.

← Back to the Allay Hospice Care Inc record

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

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction