Deficiency Index

Every finding on record at Kind Hearts Hospice, Inc.

Phoenix, Arizona · CCN 001567

7 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 July 14, 2023

7 findings
L0515

Upon patient record review, 6 of 6 (Patient #1,2,3,4,5 & 6) did not have evidence that the patient chooses a health care provider, including an attending physician.

L0663

Upon personnel record review, 1 of 12 (Personnel #9) did not have evidence that the skills competency assessment, specific to the personnel had been conducted initially during orientation.

L0673

Upon patient client record review, 6 of 6 (Patient #1,2,3,4,5 & 6) did not have evidence in the patient records for the identification of the attending physician in the election statements. This was not included in the election statements.

L0679

Upon patient client record review, 1 of 6 (Patient #5) did not have evidence that the entries were complete, there was no signature in the discharge summary to appropriately authenticate the document in accordance with the organizations policies and procedures and currently accepted standards of practice

L0683

Upon client record review, 2 of 6 (Patient #4 & 5) did not have evidence that if a patient revokes the election of hospice care or is discharged from hospice in accordance with §418.26, the hospice must forward to the patient's attending physician: • A copy of the hospice discharge summary • The patient's clinical record, if requested

L0795

Upon personnel record review, 1 of 12 (Personnel #12) did not have evidence that the hospice obtained a criminal background check on the contracted individual who have direct patient care and access to patient records.

L0796

Upon personnel record review, 1 of 12 (Personnel #4) did not have evidence that Arizona fingerprint clearance/card for criminal background check was obtained in accordance with state requirements.

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

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