Deficiency Index

Every finding on record at Gentle Care Hospice Services Corp.

Pasadena, California · CCN B31505

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 September 13, 2024

2 findings
L0523

Upon patient record review 1 of 14 (Patient #12) did not have evidence in the patient record that the hospice interdisciplinary group, in consultation with the individual's attending physician (if any), completed the comprehensive assessment no later than 5 calendar days after the election of hospice care. #12-There was no documentation of an Initial Psychosocial Assessment in the patient record. SN documented in the Comprehensive Assessment the need for, "MSW for Initial Eval within 5 days." The MSW documented on a routine MSW note on day 2, "visited for his monthly evaluation."

L0555

Upon client record review, 4 of 14 (Patient #1, #5, #7 and #9) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. #1-There was no documentation of a SN visit for the week of 08/25/23-08/31/23. Orders are for SN visits once weekly. #5-There was no documentation of a SN visit for the week of 08/25/23-08/31/23. Orders are for SN visits once weekly. #7-There was no documentation of a SN visit for the week of 08/25/23-08/31/23. Orders are for SN visits once weekly. #9-There was no documentation of a SN visit for the week of 09/01/24-09/07/24. Orders are for SN visits once weekly.

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

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