Upon patient record review, 2 of 5 (Patient #1, #2) did not have evidence that the medical director or physician designee provides written certification that it is anticipated that the patient's life expectancy is 6 months or less if the illness runs its normal course. Patient #1: The physician certification had incorrect Benefit Period (BP) dates listed as 9/13/21 to 12/9/21, which was less than 90 days. Patient #2: The physician certification had incorrect Benefit Period (BP) dates listed as 9/16/21 to 12/13/21, which was less than 90 days.
Every finding on record at Easycare Inc.
North Hollywood, California · CCN B21799
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 October 6, 2021
3 findingsUpon patient record review, 5 of 5 (Patient #1, #2, #3, #4 and #5) did not have evidence that each patient record contains: • Signed election statement in accordance with 418.24 Patient #1, #2, #3, #4, #5- The notice of election did not have a provision for the patient/representative to request the “Patient Notification of Hospice Non-Covered Items, Services, and Drugs” in accordance with 418.24.
Upon SNF/NF contract review, 1 of 1 applicable (SNF) did not have a provision stating that the hospice reports all alleged violations involving mistreatment, neglect, or verbal, mental, sexual, and physical abuse, including injuries of unknown source, and misappropriation of patient property by anyone unrelated to the hospice to the SNF/NF administrator within 24 hours of the hospice becoming aware of the alleged violation.
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Federal survey findings only. State licensure findings for hospices are not shown.
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