Deficiency Index

Every finding on record at Heaven Roads Hospice Inc

Van Nuys, California · CCN B21546

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 18, 2024

2 findings
L0549

Upon patient record review, 3 of 14 (Patient #1, 2, 3) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including medications and treatments. Patient #1: Patient has order for oxygen 2l/m via nasal canula. Oxygen not listed under medications on the POC. corrected on sit 4/17 Patient #2: POC lists Triamcinolone topical cream and JUBLIA topical solution. Neither list a location. corrected on sit 4/17 Patient #3: POC lists lidocaine transdermal patch once a day as needed for pain. No location listed. Artificial tears 1 drop two times day. Doesn't specify which or if both eyes. corrected on site 4/17

L0550

Upon patient record review, 1 of 14 (Patient #5) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including equipment and supply needs. Patient #5: Patient has order for albuterol via nebulizer. Nebulizer not listed under DME on POC. Patient ambulation on POC as walker. Walker not listed under DME on the POC. corrected on sit 4/17

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

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