Deficiency Index

Every finding on record at World Health Hospice Inc

Encino, California · CCN B41545

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 23, 2022

2 findings
L0615

Upon personnel record review, 1 of 1 applicable personnel record (Personnel #9) did not have evidence in the personnel file that the competency assessment was performed by the aide with a patient. Personnel #9: The Hospice aide did not have evidence that competency for the aide skills were performed by the aide with a patient or pseudo-patient. Skills were completed verbally only.

L0673

Upon patient client record review, 3 of 5 (Patient #2, 4, 5) did not have evidence that each patient record contains: • Signed copies of the notice of patient rights in accordance with 418.52 • Signed election statement in accordance with 418.24 Patient #2: Consent did not have the effective date of election. Patient #4 and 5: Consent did not have the date of election. There was no reason noted on the consent as to why the patient could not sign.

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

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