Upon review, the Emergency Preparedness plan did not include a process for cooperation and collaboration with tribal emergency preparedness officials.
Every finding on record at Eternal Hospice Care Inc
West Covina, California · CCN 751572
5 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 July 7, 2023
5 findingsUpon observation, there was no evidence in the communication plan of the contact information for tribal emergency preparedness staff, and no evidence of a primary or alternate means for communicating with tribal emergency management agencies.
Upon personnel record review, 14 of 15 (Personnel 1,3,4,5,6,7,8,9,10,11,12,13,14, & 15) did not have an Emergency Preparedness training provided by the hospice agency.
Upon personnel record review, 1 of 15 (Personnel #6) did not have an evaluation performed while the aide is performing tasks with a patient or pseudo-patient as required in 42 CFR 418.76 (3) (b)
Upon personnel record review, 1 of 15 (Personnel #2) did not have a document evidence of the job description as an alternate administrator.
← Back to the Eternal Hospice Care Inc record
Federal survey findings only. State licensure findings for hospices are not shown.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction