Deficiency Index

Every finding on record at Trifinity Hospice Inc

Burbank, California · CCN B41515

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 April 21, 2022

1 finding
L0653

It is required that hospice nursing services, physician services, drugs and biologicals are made routinely available on a 24-hour basis, seven (7) days per week. All covered services are available on a 24-hour basis when reasonable and necessary to meet the needs of the patient and family. This standard was not met as evidenced by observation and interview. The afterhours/on call phone number listed was not answered in 1 of 1 (100%) attempt. The agency patient handbook (page 4) afterhours/on-call guidelines state an RN is available 24 hours a day, 7 days a week. On 4/20/2022 an attempt was made at 7:00 am to contact the office and the number listed was not answered nor did the message state the number was associated with the hospice program. The caller was unable to leave a message because the mailbox was full. The auto attendant did state you can send a text message. The text message was not answered. During an interview on 4/20/2022 the alternate administrator (Staff ID 34102) confirmed the number listed on the patient face sheet is the correct number to call after hours. Administrator (Staff ID 70318) and alternate administrator (Staff ID 34102) set up the voicemail and cleared the messages on 4/20/2022 prior to the end of business hours.

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

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