Upon client record review, 3 of 5 (Patient #1, 2, 3) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient 1, 2, 3: The MSW visited the patients and completed the comprehensive initial assessments. MSW visits were ordered as PRN, no evidence of an order for these visits for routine visits and no quantity of PRN visits. (corrected onsite)
Every finding on record at Alpha Hospice Services, Inc
Glendora, California · CCN B51717
2 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 April 25, 2023
2 findingsUpon patient client record review, 1 of 5 (Patient #2) did not have evidence that each patient record contains: • Signed election statement in accordance with 418.24 Patient 2: Upon election of the hospice benefit, the patient requested the Notification of Noncovered Services; however, there was no evidence the hospice returned this document to the patient within 5 days, as required.
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Federal survey findings only. State licensure findings for hospices are not shown.
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