Upon patient record review, 1 of 11 (Patient #5) did not have evidence the plan of care must includes all services necessary for the palliation and management of the terminal illness and related conditions, including a detailed statement of the scope and frequency of services necessary to meet the specific patient and family needs. Patient #5 The 2/11/22 plan care reads MSW 1x/per cert and prn with no prn quantifier.
Every finding on record at Faith in Angels Hospice Inc.
Burbank, California · CCN 551716
4 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 April 20, 2022
4 findingsUpon observation, there was missing evidence the hospice follows acceptable standards of practice to prevent the transmission of infections and communicable diseases, including standard precautions. Patient #2 The RN did not clean thermometer prior to placing back in the nursing bag, BP cuff and pulse oximeter removed from bag and placed on patient/s bed before and after use.
Upon patient record review, 8 of 8 applicable(Patient #3,4,5,6,7,9,10,11) did not have evidence in the patient record that hospice aide assignments and duties include the tasks to be provided and the frequency of those tasks. Patient #3,4,5,6,7,9,10,11: The aide care plans to date do not contain frequencies for assigned tasks
Upon patient client record review, 1 of 11 (Patient #2) 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. Patient #2 The 3/21/22 and 3/26/22 SNV do not contain credentials with the associated signature and date.
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Federal survey findings only. State licensure findings for hospices are not shown.
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