Observed in Individual Tracer. In 6 of 10 patient records reviewed, it was found that the goals had not contained measurable outcomes. For example, for RRHV#1 the goals for pain and respiratory problems were generic targeted outcomes but no times frames identified. For example, the goal for pain was Pain is at or below acceptable level as determined by the patient 3/10. Patient /caregiver understands non- pharmacological pain management techniques , for respiratory the goal was patient /caregiver understands and properly administer medications/treatments for respiratory problems. For RRD/C # 2 the goals for pain and respiratory had generic targeted outcomes with no time frames. For example, the goals pt will achieve desired level of comfort as evidenced by Pain is at or below acceptable level as determined by the patient, 3/10 Patient/caregiver understands and properly administers medications/treatments for respiratory problems. For RRDC # 8 the goals for incontinence was patient /caregiver understands proper skin care, for anorexia the goal was patient caregiver understands effects of disease process on appetite, for pain the goal was pain is at or below acceptable level as determined by patient. For RRDC # 7 for weakness the goal was patient/caregiver exhibits understanding of safety measures, the goal for pain was pain is at or below acceptable level as determined by the patient 3/10. For RRDC # 3 and RRDC # 6 the same generic goals for pain and respiratory were identified. This was validated by the DON.
Every finding on record at Eternally Yours Hospice, Inc.
West Covina, California · CCN 751657
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 July 27, 2023
1 finding← Back to the Eternally Yours Hospice, Inc. record
Federal survey findings only. State licensure findings for hospices are not shown.
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