Deficiency Index

Every finding on record at Hospicio La Providencia

Ponce, Puerto Rico · CCN 401500

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 December 7, 2023

2 findings
E0006

Based upon an Emergency Preparedness Program (EPP) survey performed on 12/05/2023 at 8:30 AM to 4:50 PM, to evaluate emergency preparedness requirements, it was determined that the facility failed to maintain an Facility Hazard Vulnerability Assessment that must be reviewed, and updated at least every 2 years. --- Findings include: During the review of the facilities Emergency Preparedness Program with the Clinical Services Director ( employee #1) on 12/5/2023 at 10:30 AM it was noted that the facility failed to include a updated facility and community based all hazard approach risk assessment (HVA). The last HVA performed for the facility was of 2020.

E0024

Based upon an Emergency Preparedness Program (EPP) survey performed on 12/05/2023 at 8:30 AM to 4:50 PM, to evaluate emergency preparedness requirements, it was determined that the facility failed to ensure policies and procedures to facilitate the support of volunteers and other healthcare professionals in an emergency. --- Findings include: During the review of the facilities Emergency Preparedness Program with the Clinical Services Director (employee #1) on 12/05/2023 it was noted that the facility failed to stablished policies and procedures to ensure and facilitate the support of volunteers and other healthcare professionals in an emergency as required under §418.113(b)(4).

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

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