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25 | On 10/29/2020 at 2:25 pm, Licensing Program Analyst (LPA) Chavez conducted a case management visit to issue a deficiency. Due to the situation surrounding the Coronavirus Disease 2019 (COVID-19), and to implement mitigation measures, today’s case management investigation was conducted telephonically with Lisa Hulse, facility Vice President and back-up administrator. LPA explained the purpose of today’s visit.
On 10/13/2020, LPA reviewed the facility’s license and a current resident roster and observed that the facility currently has 16 residents on hospice but only had a hospice waiver approved for 8. LPA phoned administrator to ascertain the reason they retained more hospice residents than their hospice waiver was approved for. Administrator stated he believed their hospice waiver was for 16 residents. The administrator could not provide documentation that a hospice waiver for 16 residents was approved and could not provide documentation that a previous request for hospice waiver increase was sent to CCL. Based on the information obtained, the facility exceeded their hospice waiver for 8 residents by having 16 residents on hospice.
At 2:37 pm, a telephonic exit interview was conducted with Lisa Hulse, and an electronic copy of the report and deficiencies was emailed for signature to be returned to LPA Chavez. |