Observed in Record Review. In 2 of 14 patient records reviewed, the organization did not maintain complete and accurate records by ensuring the patient's record was complete and promptly/accurately documented. In RRHV#2, the patient's plan of care in the hospice record included Instruct and monitor safety restraints used as ordered. It was confirmed by the RN and Administrator/DPCS that the record documentation was inaccurate with no safety restraints ordered or used on the patient. In RRNHV#1, the initial hospice plan of care included hospice aide visits two (2) times a week. After 12 days, only one (1) aide visit was documented in the record. The hospice aide verified an additional visit was made and completed, but the visit note was not documented in the hospice record. Documentation of the visit was completed by the hospice aide by end of day. This was reviewed and verified with the Administrator/Director of Patient Care Services.
Every finding on record at Faith & Life Hospice Inc
Glendale, California · CCN B21587
2 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 March 28, 2024
2 findingsObserved in Patient Home. In 1 of 3 home visits conducted, the organization did not provide patient education and training based on each patient's condition, assessed needs and abilities, including procedures to follow if care, treatment, or services were disrupted by a natural disaster or an emergency. In RRHV#3, there was no individual emergency plan in the home or education provided for the patient's individualized disaster plan. This was reviewed and verified with Administrator/Director of Patient Care Services.
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Federal survey findings only. State licensure findings for hospices are not shown.
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