Upon client record review, 1 of 11 (Patient #4) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #4: 650 mg Acetaminophen was listed on the medication profile due to additional order for Percocet. In nurse narrative dated 1-26-22, nurse documented patient was given Acetaminophen 500mg.
Every finding on record at Haven Hospice Care, Inc.
Simi Valley, California · CCN A01635
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 April 13, 2022
2 findingsUpon patient record review, 1 of 5 applicable patients (Patient #4) did not have evidence in the patient record that hospice aide assignments and duties are: • Written patient care instructions for a hospice aide must be prepared by a Registered Nurse who is responsible for the supervision of a hospice aide as specified under paragraph (h) of 418.76 Patient #4: According to medication profile, patient was taking 81mg ASA as a blood thinner. There were no bleeding precautions ordered as part of the aide assignment.
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Federal survey findings only. State licensure findings for hospices are not shown.
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