Deficiency Index

Every finding on record at Shaid Hospice, Inc.

Valley Village, California · CCN B51564

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 September 22, 2022

1 finding
L0545

Observed in Record Review. In 5 of 5 patient records reviewed, The HCO did not ensure patient care plan goals were individualized, measurable, realistic, and relevant. Examples include the following: “Early detection of upper respiratory infection throughout hospice care -Patient will not develop any episodes of respiratory crisis by next IDG meeting, depression will be controlled by compliance to antidepressant medication within 3-4 weeks, no skin breakdown related to urinary incontinence throughout the certification period, patient will prevent the spread of infection; family will learn more about the disease and its management within 2 weeks and will be evaluated on the next IDT meeting. patient/caregiver will comply with application of A&D ointment upon every incontinence care and as needed to prevent skin breakdown. These stated goals do not contain specific information, including realistic time frames, that can be accurately measured to assist organizational staff in determining whether the patient is progressing towards achieving their goals. These findings were reviewed, discussed, and validated with the organization’s Administrator/DPCS Designee.

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

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