Deficiency Index

Every finding on record at New Alliance Palliative Care Inc

Houston, Texas · CCN 741770

2 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 January 28, 2022

2 findings
L0555

Upon client record review, 3 of 14 (Patient #2, #4 and #8) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #2 The POC on 6/10/21 listed Chaplain visit frequency of 1x per week. There were no CH visits made week two between 6/13-6/19/21. Patient #4 The POC on 6/30/21 listed Chaplain visit frequency of 1x week. There were no CH visits made week two and three between 7/4-7/10 and 7/11-7/17. The POC on 6/30/21 listed MSW visit frequency of 1x week. There were no MSW visits made week two and three between 7/4-7/10 and 7/11-7/17. Patient #8 The POC listed Chaplain visit frequency of 1x per week. The CH visited 7/27/21 and 8/27/21 only. The POC listed MSW visit frequency of 1x per week. The MSW visited 7/28/21, 8/28/21 and 9/28/21 only.

L0626

Upon patient record review 5 of 14 (Patient #5, #6, #10, #11 and #14) did not have evidence documentation in the patient record that a hospice aide provides services that are ordered by the IDG and included in the plan of care. Patient #5 The POC dated 10-15-21 listed Aide visit frequency of 3x week. There were 5 aide visits charted prior to start of care on 10/6, 10/7,10/9, 10/11and 10/13. Patient #6 The POC dated 8-5-21 listed Aide visit frequency of 3x week. There were no aide visits made week one between 8/5- 8/7/21. Patient #10 The POC dated 11-19-21 listed Aide visit frequency of 2x week. There were no aide visits made week one between 11/19 and 11/20/21. Patient #11 The POC dated 11-19-21 listed Aide visit frequency of 2x week. There were no aide visits made week one between 11/5-11/6/21. Patient #14 The POC dated 03-27-21 listed Aide visit frequency of 2x week. There were no aide visits made week one between 3/27-3/27/21.

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

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