Deficiency Index

Every finding on record at Stoneridge Hospice LLC

Phoenix, Arizona · CCN 031722

6 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 October 11, 2023

6 findings
L0651

Upon personnel record review, 1 of 15 (Personnel #2) did not have evidence in the personnel record of the alternate administrator's job description for this role.

L0661

Upon personnel record review, 1 of 19 (Personnel #13) did not have evidence the contract employee have received orientation on the hospice philosophy.

L0663

Upon personnel record review, 2 of 19 (Personnel # 3 and #13) did not have evidence that a skills competency assessment, specific to each discipline had been conducted initially during orientation.

L0683

Upon client record review, of 2 of 19 (Patient #15 and #16) did not have evidence that when the patients revoked the election of hospice care and were discharged from hospice in accordance with §418.26, the hospice forwarded to the patient's attending physician a copy of the hospice discharge summary.

L0784

Upon personnel record review 1 of 15 (Personnel # 13) did not have evidence that personnel credentialing activities were conducted to verify qualifications of this licensed personnel in the positions they hold at the time of hire in accordance with specific state practice act requirements. There was no license credentialing performed to verify the professional license specific to this discipline prior to providing care to patients.

L0795

Upon personnel record review, 1 of 19 (Personnel #13) did not have evidence the hospice obtained a criminal background check on these contracted individuals who can have direct patient care and access to patient records.

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

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