Upon patient record review 1 of 11 (Patient #3) did not have evidence in the patient record that the hospice interdisciplinary group, in consultation with the individual's attending physician (if any), completed the comprehensive assessment no later than 5 calendar days after the election of hospice care. Patient #3: Had a start of care date 9/17/2021, however there was no indication that the Spiritual Assessment was conducted until 9/24/2021.
Every finding on record at Blue Spirit Hospice Inc.
West Covina, California · CCN A01602
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 26, 2022
2 findingsUpon observation, there was no evidence the hospice documents and demonstrates viable and ongoing efforts to recruit and retain volunteers. There was no documentation to indicate volunteer recruitment efforts for the year 2021.
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Federal survey findings only. State licensure findings for hospices are not shown.
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