Deficiency Index

Every finding on record at House of Faith Hospice Care, Inc.

Northridge, California · CCN D61503

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 December 28, 2023

3 findings
L0615

Upon personnel record review, 1 of 14 (Personnel 6) did not have evidence in the personnel file that the following competency assessment was performed by the aide with a patient: (This standard applies to all Hospice Aides providing care/service who are directly employed by the hospice or through contractual agreement The other subject areas in this section may be evaluated through written examination, oral examination or after observation of a Hospice Aide with a patient. Personnel 6: No evidence in personnel file that a competency assessment was performed with the aide in 2023. No evidence that an RN evaluated the aide's competency in performing : ·Communication skills, including the ability to read, write, and verbally report clinical information to patients, caregivers, and other hospice staff. ·Reading and recording temperature, pulse, and respiration ·Safe transfer techniques and ambulation. ·Normal range of motion and positioning ·Appropriate and safe techniques in personal hygiene and grooming that include-- ·(A) Bed bath ·(B) Sponge, tub, and shower bath ·(C) Shampoo, sink, tub, and bed ·(D) Nail and skin care ·(E) Oral hygiene Aide was assigned and provided 2 visits in 2023, 6/9/23 and 6/14/23 to Patient #4, which included bed bath, shampoo, nail care, incontinence care and oral hygiene.

L0632

Upon personnel record review, 1 of 14 (Personnel 6 ) did not have evidence in the hospice aide personnel file that a registered nurse made an annual on-site visit to the location where a patient is receiving care in order to observe and assess each aide while he or she is performing care. Personnel 6: No evidence in personnel file of a RN annual visit made in 2023.

L0784

Upon personnel record review, 1 of 14 (Personnel 7 ) did not have evidence that personnel credentialing activities are conducted to verify qualifications of all credentialed/licensed personnel in the positions they hold at the time of hire, at renewal or in accordance with specific state practice act requirements. Personnel 7: Employee file did not contain evidence that primary source license verification was done upon hire in 2020 and at time of renewal.

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

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