Upon personnel record review, 1 of 15 (Personnel #12) did not have evidence that all core services were provided directly by hospice personnel. There was no evidence of a W4 form for this personnel's record as an employee. This evidence was presented on Day 2.
Every finding on record at Creative Hospice Care Inc
Alhambra, California · CCN A11610
3 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 November 29, 2023
3 findingsUpon personnel record review, 1 of 15 (Personnel #7) did not have evidence that a skills competency assessment, specific to this discipline had been conducted initially during orientation. There was no skills competency assessment evidence it was performed upon hire.
Upon client record review, 1 of 19 (Patient #16) did not have evidence that when the patient revoked the election of hospice care and was discharged from hospice on 3-23-23; in accordance with §418.26, the hospice forwarded to the patient's attending physician: • A copy of the hospice discharge summary • The patient's clinical record, if requested
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Federal survey findings only. State licensure findings for hospices are not shown.
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