Deficiency Index

Every finding on record at Kindcare Hospice Inc

Encino, California · CCN 921646

1 finding 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 May 4, 2023

1 finding
L0673

Upon patient client record review, 2 of 14 (Patient #9, 11) did not have evidence that each patient record contains: • Signed copies of the notice of patient rights in accordance with 418.52 • Signed election statement in accordance with 418.24 Patient #9, 11: The effective date for election statement is blank. The signature for the form is dated consistently with date services were initiated.

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

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