Deficiency Index

Every finding on record at Devoted Hands Hospice Inc

Los Angeles, California · CCN B21798

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 August 23, 2024

2 findings
L0679

Upon patient client record review, 2 of 14 (Patient #4, 6) 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 4: The SN documented 8/15/24 "pain medication given as ordered". There is no evidence the order was followed as there were not evidence of complete documentation. Patient 6: The SN documented 7/2/24 "Wound care provided according to these new orders". There is no evidence the SN followed the POC as there was not evidence of complete documentation.

L0799

Upon observation, there was no evidence the HSP furnish updated information to CMS, state agencies and ACHC at intervals between recertification, or re-enrollment, or contract renewals. The agency had a change in Administrator/DPCS 1/6/23 and Alt Administrator/Alt DPCS 3/1/24. There is no evidence that CMS, state agencies or ACHC was notified.

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

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