Deficiency Index

Every finding on record at Oasis Hospice Care Inc

Burbank, California · CCN B31592

3 findings across 2 surveys, 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 11, 2024

1 finding
L0555

Upon patient record review, 1 of 14 (Patient #11) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #11: The plan of care dated 10-30-24 indicated SN visits were ordered 1x week. There was a visit on 10-30-24 by the SN for admission and the next evidence of a visit was 11-14-24 which was 2 weeks. There was also no evidence of a missed visit order or documentation regarding the change.

Survey of December 9, 2021

2 findings
L0626

Upon patient record review 1 of 4 applicable (Patient #4) 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 # 4 HHA visit frequency ordered on 7-18-21 for 2x's weekly. No HHA visits occurred for benefit weeks 7/18 and 7/25.

L0673

Upon patient client record review, 5 of 5 (Patient #1, #2, #3, #4 and #5) did not have evidence that each patient record contains a signed election statement in accordance with 418.24. The Election of Benefit statement for all patients did not include information on the Beneficiary and Family Centered Centered Care Quality Improvement Organization (BFCC-QIO) including the right to immediate advocacy and BFCC-QIO contact information.

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

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