Deficiency Index

Every finding on record at Bright Palliative and Hospice Inc

Glendale, California · CCN B41675

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 April 23, 2025

1 finding
L0673

Upon patient record review, 3 of 14 (Patient #1,9,13) 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 Patient#1: On page 1 of the Hospice Benefit Election form, the form showed evidence that the patient/POA elected to initiate the hospice benefit on 09/24/24. On page 7 of the same Hospice Benefit Election, the initiation date was typed in as 09/25/24. Patient #9: On page 1 of the Hospice Benefit Election form, the form showed evidence that the patient/POA elected to initiate the hospice benefit on 05/15/24. On page 7 of the same Hospice Benefit Election, the initiation date was typed in as 05/14/24. Patient #13: On page 1 of the Hospice Benefit Election form, the form showed evidence that the patient/POA elected to initiate the hospice benefit on 05/05/24. On page 7 of the same Hospice Benefit Election, the initiation date was typed in as 05/04/24

Survey of April 28, 2022

1 finding
L0615

Upon personnel record review, 1 of 1 applicable records (Personnel #6) did not have evidence in the personnel file that the following competency assessment was performed by the aide with a patient: (This standard applies to all Hospice Aides providing care/service who are directly employed by the hospice or through a contractual agreement.) ·(C) Shampoo, sink, tub, and bed Personnel Record #6: The form utilized by the agency does not differentiate types of shampoo, but only says "shampoo". Therefore, the competency cannot be considered completed for sink, tub and bed shampoos.

← Back to the Bright Palliative and Hospice 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