Survey Report for 751517

DEPARTMENT OF HEALTH AND HUMAN SERVICES		FORM APPROVED
CENTERS FOR MEDICARE & MEDICAID SERVICES		OMB NO. 0938-0391
STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION	(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER	(X2) MULTIPLE CONSTRUCTION	(X3) DATE SURVEY COMPLETED
STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION	751517	A. BUILDING __________ B. WING ______________	01/27/2020
NAME OF PROVIDER OR SUPPLIER	STREET ADDRESS, CITY, STATE, ZIP
ARIA HOSPICE LLC	229 SOUTH 8TH STREET, SUITE A, EL CENTRO, CA, 92243
For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See reverse for further instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation
LABORATORY DIRECTOR’S OR PROVIDER/SUPPLIER REPRESENTATIVE’S SIGNATURE		TITLE	(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
(X4) ID PREFIX TAG	SUMMARY STATEMENT OF DEFICIENCIES (EACH DEFICIENCY SHOULD BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION)
L0798
L0798	36471 Based on interview, and record review, the agency failed to ensure a Registered Nurse (RN) was in compliance with state regulations when a RN was employed without previous experience in hospice or healthcare setting for 1 of 3 employees file (RN 1). As a result, there was a potential for the RN to deliver substandard care. Findings: On 12/19/19, review of employee files was conducted. Per the Board of Registered Nurse, RN 1 received her RN licensed on 2/26/19, and the agency hired RN 1 on 4/11/19. Per the RN 1's resume, under work history, there was no evidence that RN 1 had experience working in a hospice or healthcare setting. Per the agency's Job Title/Position, revised 4/18, " ...Registered nurse shall have a minimum of (a) one (1) year of experience as a professional nurse within the last three (3) years ..." On 1/16/20 at 11:45 A.M., an interview was conducted with the Director of Patient Care Service (DPCS). The DPCS stated he was responsible for hiring employees and took a chance hiring RN 1. The DPCS further stated RN 1 did not have one-year hospice experience nor experience in a healthcare setting and did not met the job requirement. Per the California Hospice and Palliative Care Association, dated 2005, Section 5.4 " ...Registered Nurses shall have a minimum of (a) one (1) year of experience as a professional nurse within the last three (3) years; or (b) have a baccalaureate degree in nursing from a program accredited by the National league for Nursing and a current license ..."