Upon patient record review, 2 of 5 (Patients #4 and5) did not have evidence that the patient chooses a health care provider, including an attending physician. Patients #4 and 5: There is no evidence on the hospice election form that the patient's choice for attending physician was documented. It was checked that "I acknowledge that my choice for attending physician is....."; however it was left blank.
Every finding on record at Angel Love Hospice Inc.
Van Nuys, California · CCN B51511
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 August 18, 2022
2 findingsUpon patient client record review, 2 of 5 records (Patients #4,#5) did not have evidence that each patient record contains: • Signed copies of the notice of patient rights in accordance with 418.52 • Signed election statement in accordance with 418.24 Patients #4 and 5: There is no evidence on the hospice election form that the patient's choice for attending physician was documented. It was checked that "I acknowledge that my choice for attending physician is....."; however it was left blank.
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Federal survey findings only. State licensure findings for hospices are not shown.
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