Observed in Record Review. In 1 of 10 patient records reviewed, the comprehensive assessment was not completed within 5 calendar days. In HOSRR#5 , the Surveyor noted the spiritual assessment was completed six days after the start of care. This was confirmed with the COO.
Every finding on record at Latreia Healthcare Services, Inc.
Sacramento, California · CCN 921762
6 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 22, 2021
6 findingsObserved in Record Review. In 1 of 10 patient records reviewed, The organization did not assess and reassess its patients for complications and risk factors that affect care planning. In HOSRR#5, the initial Bereavement Risk Assessment was not completed within 5 days of Start of Care. These findings were confirmed with the COO.
Observed in Record Review. In 7 of 13 patient records reviewed, there were no measurable out comes included in the plans of care for any of the identified goals. For example HOSV #1 GOAL: Patient will have no eye issues . HOSV#2, HOSV#3, and HOSRR#1-4 the goals did not have time frames for achieving them. This was discussed with the Chief Operations Officer COO
Observed in Record Review. In 4 of 8 patient records reviewed, the frequency of visits ordered for SC services. During review of HOSV#1 record review and HOSRR#1,6, 10 it was noted that the Spiritual Counselor ( SC) and the Medical Social Worker (MSW) frequencies lacked an indication for the reasons for the PRN SC and MSW visits identified on each POC. This was confirmed with the COO.
Observed in Record Review. In 7 of 13 patient records reviewed, there were no measurable out comes included in the plans of care for any of the identified goals. For example HOSV #1 GOAL: Patient will have no eye issues . HOSV#2, HOSV#3, and HOSRR#1-4 the goals did not have time frames for achieving them. This was discussed with the Chief Operations Officer COO
Observed in Tracer Visit. In 1 of 3 home visits conducted, it was noted that the visit frequency for skilled nursing had not been followed. For example, in HOV#2, it was noted that the plan of care stated nursing visit frequency be two time per week however the patient had been seen by skilled nurse 1 times per week for two weeks during week of 11/15 and 11/22. This was confirmed by the COO.
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Federal survey findings only. State licensure findings for hospices are not shown.
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