Deficiency Index

Every finding on record at Mimas Hospice and Palliative Care, Inc.

Los Angeles, California · CCN B51559

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 July 8, 2022

1 finding
L0679

Upon patient record review, 1 of 5 (Patient #5) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Electronic signatures are acceptable as long the hospice is following appropriate safeguards to prevent unauthorized access to the patient records. Patient #5: Medicare Hospice Benefit form listed effective date of revocation to be 3-24-2022 and was signed on 3-14-2022. Discharge Summary signed by MD lists 3-14-2022 as end of episode. 3-24-2022 date listed in error on revocation form.

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

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