Deficiency Index

Every finding on record at Grant Palliative Services Inc

Van Nuys, California · CCN B31519

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 October 7, 2021

3 findings
L0555

Upon client record review, 1 of 5 (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 had completed SC assessment. No evidence of order to complete SC assessment on plan of care.

L0626

Upon patient record review 1 of 1 (Patient #5) did not have evidence documentation in the patient record that a hospice aide provides services that are ordered by the IDG and included in the plan of care. Patient #5 has order for weekly HHA effective 8/2/21. Week of 8/8/21 no evidence of HHA visit. Patient revoked services on 8/15/21.

L0679

Upon patient client record review, 1 of 5 (Patient #5) 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 #5: SC assessment did not include a signature or date of the person who completed the visit.

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

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