Deficiency Index

Every finding on record at Gala Hospice Care Inc

Sherman Oaks, California · CCN B31513

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 August 16, 2024

2 findings
L0555

Upon client record review, 1 of 14 (Patient #5) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient 5 plan of care included wound care treatment as follows “Cleanse wound with wound cleanser, pat dry with gauze, apply tetracyte to the wound bed followed by hydrogel oil emulsion gauze, cover with bordered gauze 3 x weekly and prn soiled or loose dressing” with no location identified.

L0626

Upon patient record review 1 of 14 (Patient 3) did not have evidence documentation in the patient record that a hospice aide provides services that are: • Ordered by the interdisciplinary group • Included in the plan of care • Permitted to be performed under state law by such hospice aide • Consistent with the hospice aide training Patient 3 hospice aide visit notes on 8/2/24, 8/5/24, 8/9/24 and 8/12/24 did not show evidence that the hospice aide provided services ordered by the interdisciplinary group and included in the plan of care. Visit notes by the aide were signed and dated on 8/2, 8/5, 8/9 and 8/12/24 but the content of the notes were blank.

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

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