Based on record review and interview, the agency failed to test the response phase of its emergency preparedness and response plan in a planned drill or during an actual emergency response for two of two years reviewed (2021 and 2022). This failure has the potential to affect the agency's response to any emergency caused by a natural disaster and man-made disaster. --- Findings included: Review of the agency's emergency preparedness and response plan revealed no documentation of an emergency preparedness and response drill or implementation of the plan in 2021 and 2022. An interview was conducted on 03/23/2023 at 2:40 p.m. with the Administrator. Documentation of all emergency preparedness plan implementation and drills for 2021 and 2022 were requested for review. The Administrator stated, ";I thought I saw that somewhere but Im not sure where." No additional documentation was provided.
Every finding on record at Dallas Hospice, Inc.
Dallas, Texas · CCN 451748
1 finding 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 March 24, 2023
1 finding← Back to the Dallas Hospice, Inc. record
Federal survey findings only. State licensure findings for hospices are not shown.
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