Deficiency Index

Every finding on record at Purple Heart Hospice Inc

Burbank, California · CCN B21765

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 August 28, 2024

2 findings
L0615

Upon personnel record review, 1 of 13 (Personnel # 5) did not have evidence in the personnel file that the following competency assessment was performed by the aide with a patient: (This standard applies to all Hospice Aides providing care/service who are directly employed by the hospice or through a contractual agreement.) ·Appropriate and safe techniques in personal hygiene and grooming that include-- ·(B) Sponge bath ·(C) Shampoo, sink, tub, and bed The other subject areas in this section may be evaluated through written examination, oral examination or after observation of a Hospice Aide with a patient. Personnel #5 CHHA Competency assessment did not include the following: "Sponge Bath" ,"Shampoo, sink, tub and bed".

L0679

Upon patient client record review, 14 of 14 (Patient #1,2,3,4,5,6,7,8,9,10,11,12,13,14) 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 #1,2,3,4,5,6,7,8,9,10,11,12,13,14) patient records included page 2 of the agency "admission agreement" which contained a paragraph stating, "I understand that once in each election period I may elect to receive services through hospice program other than ANGELS GARENHOSPICE, INC. Such change shall not be considered a revocation of hospice services." *NOTE, agency admin immediately made arrangements to get this page reprinted for all future admissions. The replacement page arrived from the printer on last day of survey.

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

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