Deficiency Index

Every finding on record at Arrowhead Hospice, Inc

Encino, California · CCN B41520

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 March 19, 2025

1 finding
L0681

Upon observation, there was not evidence that all patient records are retained for a minimum of six years from the date of the most recent discharge or the death of the patient, unless state law stipulates a longer period of time. Agency was not able to produce records from previous survey.

Survey of February 10, 2022

1 finding
L0679

Upon patient client record review, 5 of 5 (Patient #1, #2, #3, #4 and #5) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Electronic signatures are acceptable as long the hospice is following appropriate safeguards to prevent unauthorized access to the patient records. Patient #1 For Benefit Period 1, the CTI Dates are listed as 11/18/22 to 4/18/22. These dates are greater than 90 days. For 90 day 1st benefit period the correct date duration would have been 1/18/22 to 4/17/22. Patient #2 For Benefit Period 1, the CTI Dates are listed as 1/20/22 to 4/20/22. These dates are greater than 90 days. For 90 day 1st benefit period the correct date duration would have been 1/20/22 to 4/19/22. Patient #3 For Benefit Period 1, the CTI Dates are listed as 11/18/22 to 4/18/22. These dates are greater than 90 days. For 90 day 1st benefit period the correct date duration would have been 1/18/22 to 4/17/22. Patient #4 For Benefit Period 1, the CTI Dates are listed as 7/6/21 to 10/4/21. These dates are greater than 90 days. For 90 day 1st benefit period the correct date duration would have been 7/6/21 to 10/3/21. Patient #5 For Benefit Period 1, the CTI Dates are listed as 7/21/21 to 10/19/21. These dates are greater than 90 days. For 90 day 1st benefit period the correct date duration would have been 7/21/21 to 10/18/21.

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

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