Deficiency Index

Every finding on record at Snj Hospice Care LLC

Burbank, California · CCN B21534

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 April 19, 2024

2 findings
L0555

Upon client record review, 7 of 14 (Patient #2, #3, #4, #8, #12, #13, #14) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. #2-The visit frequency for the skilled nurse was indicated at 2x/week. There was no evidence of 2 visits for the week of 4/7/24 - 4/13/24. #3-The visit frequency for the skilled nurse was indicated at 2x/week. There was no evidence of a 2nd visit for the week of 3/31/24 - 4/6/24. #4-The visit frequency for the skilled nurse was indicated at 2x/week. There was no evidence of nursing visits for the week of 3/24/24-3/30/24. #8-The visit frequency for the skilled nurse was indicated at 2x/week. There was no evidence of nursing visits for the weeks of 3/24/24-3/30/24 or 3/31/24-4/6/24. #12-The visit frequency for the skilled nurse was indicated at 2x/week. There was no evidence of a 2nd visit for the week of 2/25/24-3/2/24. There was no evidence of a visit for the week of 3/3/24, only a declined visit on 3/8/24 with no missed visit documentation to MD. #13-The visit frequency for the skilled nurse was indicated at 2x/week. There was no evidence of nursing visits for the week of 3/24/24-3/30/24. There was no evidence of a 2nd visit for the week of 3/31/24-4/6/24. #14-The visit frequency for the skilled nurse was indicated at 2x/week. There was no evidence of a 2nd visit for the week of 2/25/24-3/2/24.

L0579

Upon observation, there was no evidence the hospice follows acceptable standards of practice to prevent the transmission of infections and communicable diseases, including standard precautions. Patient #1-The RN returned reusable equipment (pulse oximeter, blood pressure cuff) to the nursing bag without cleansing with alcohol or other appropriate solution. Agency policy states that such equipment will be cleaned prior to returning to bag.

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

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