Upon client record review, 1 of 14 (Patient #2) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. #2-A podiatry eval was order on 05/26/25. There is no evidence of the evaluation being completed.
Every finding on record at Devoted Hospice Care Inc
Glendora, California · CCN B41796
4 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 August 14, 2025
1 findingSurvey of September 16, 2022
3 findingsUpon personnel record review, 1 of 1 applicable (Personnel #9 ) 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.) Personnel # 9: The HHA performed toileting and elimination tasks with a patient. This HHA did not have evidence in their employee file that competency was completed/observed prior to performing this task.
Upon observation, there was no evidence the hospice documented the cost savings achieved through the use of volunteers.
Upon patient client record review, 5 of 5 (Patient #1, #2, #3, #4 and #5) 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 #1: The CTI benefit dates do not have correct time period for 1st-90 day benefit period. The start of care is listed as 09/07/22. The agency benefit period reads 09/07/22 to 12/06/22. The benefit period dates should read 09/07/22 to 12/05/22 (90 days). Patient #2: The CTI benefit dates do not have correct time period for 1st-90 day benefit period. The start of care is listed as 09/06/22. The agency benefit period reads 09/06/22 to 10/27/22. The benefit period dates should read 09/06/22 to 12/04/22 (90 days). Patient #3: The CTI benefit dates do not have correct time period for 1st-90 day benefit period. The start of care is listed as 09/07/22. The agency benefit period reads 09/07/22 to 12/06/22. The benefit period dates should read 09/07/22 to 12/05/22 (90 days). Patient #4: The CTI benefit dates do not have correct time period for 1st-90 day benefit period. The start of care is listed as 03/15/22. The agency benefit period reads 03/15/22 to 06/13/22. The benefit period dates should read 03/15/22 to 06/12//22 (90 days). Patient #5: The CTI benefit dates do not have correct time period for 1st-90 day benefit period. The start of care is listed as 03/19/22. The agency benefit period reads 03/19/22 to 06/17/22. The benefit period dates should read 03/19/22 to 06/16//22 (90 days).
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Federal survey findings only. State licensure findings for hospices are not shown.
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