Deficiency Index

Every finding on record at G Women International LLC

Las Vegas, Nevada · CCN 291531

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 March 21, 2024

3 findings
L0545

Observed in Record Review. In 6 of 14 patient records reviewed, Confirmed by the Director of Patient services. The Hospice plan of care had not included measurable goals based on the assed needs. Example: During review of HOSrr#1 a goal had documented that the patient will verbalize a body pain level of less than three by end of certification of 3 months. During review of HOSrr#2 a goal had documented that the patient oxygen will avoid an ignition event while in hospice care ,

L0549

Observed in Record Review. In 4 of 14 patient records reviewed, Confirmed by the Director of Patient services. The plan of care had not contained treatment or interventions based on the assed needs. Example: During review of HOSrr#3 the patient had a peg tube . The plan of care had not documented the treatment or care needed to maintain the peg tube. During review of HOSrr#4 the patient had a diagnosis of dysphagia and hx of aspiration. The plan of care had not documented treatment or interventions to prevent aspiration. Review of HOSrr#1 The frequency for Spiritual care had been 1 x month but had not documented goals or interventions. Review of HOSv#1 the plan of care had not documented goals or interventions to prevent aspiration.

L0596

Observed in Record Review. In 3 of 14 patient records reviewed, for initial bereavement and post death bereavement assessment . Confirmed by the Director of Patient care. The bereavement record had not contained a completed bereavement plan of care. Example: During review of HOSbr#1 the bereavement plan of care had documented the name of the bereaved that lived out of state. The address had been blank and the entire plan to include goals had been blank. Review of HOSbr#2 had not been completed with only the bereaved name . During review of HOSrr#3 the initial assessment of a patient with ALS had only documented the patient's wife, but had not documented the 4 adolescent children living in the home

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Federal survey findings only. State licensure findings for hospices are not shown.

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