Upon client record review, 1 of 5 (Patient #5) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #5: POC dated 3/5/22 ordered SN frequency as 2xwk. Only one visit performed in week one- no evidence of refusal of visit, or order correction. POC dated 3/5/22 has no frequency denoted for chaplain, in the blank for frequency states "chaplain". Chaplain performed a visit on 3/7/22.
Every finding on record at Safemed Hospice Inc
Placentia, California · CCN B41681
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 June 16, 2022
2 findingsUpon patient record review 2 of 2 applicable (Patient #3, 4) did not have evidence documentation in the patient record that a hospice aide provides services that are ordered by the interdisciplinary group and included in the plan of care. Patient #3: POC dated 4/1/22 orders CHHA 2xwk. No evidence of visits in week #1 nor missed visits/order. Patient #4: POC dated 3/12/22 ordered CHHA 2xwk. No evidence of visits in week #1 nor missed visits/order.
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Federal survey findings only. State licensure findings for hospices are not shown.
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