Deficiency Index

Every finding on record at Crystal Angels Palliative and Hospice Inc

Van Nuys, California · CCN B41760

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 September 28, 2022

2 findings
L0626

Upon patient record review 1 of 1 applicable (Patient #4) did not have evidence documentation in the patient record that a hospice aide provides services that are: • Ordered by the interdisciplinary group • Included in the plan of care Patient 4: Hospice aide visits were ordered at a frequency of 2 x weekly according to the care plan. However, on the week of 02.06.2022, there was only evidence of one HA visit on 02.08.2022. Further, no missed visit was noted during this week.

L0679

Upon patient client record review, 1 of 5 (Patient #3) 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 3: The initial bereavement care plan for Patient 3 included the identified primary caregiver/potential bereaved of Patient 3, as well as the family member of the alternate patient. (corrected onsite)

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

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