Annual Utilization Report of Home Health Agencies / Hospices
Facility Name:KAISER FOUNDATION HOSPITAL ANAHEIM HOME HEALTH AG.
OSHPD ID:406300050Report Status:Submitted
License Category:Home Health AgencyReport Year:2016
Table of Contents
Click on any of the links listed below to view the corresponding section.
Section 1 - General Information
Section 2 - Home Health Agency
Section 3 - Home Health Agency Patients and Visits
Section 4 - Health Care Utilization
Section 5 - Hospice Description
Section 6 - Hospice Services
Section 7 - Hospice Patient Information
Section 8 - Hospice Utilization
Section 9 - Hospice Care And Source Of Payment
Section 10 - Hospice Income and Expenses Statement
Section 11 - Hospice Inpatient Facility/Unit
General Comments
View Errors and Warnings
Section 1 - General Information
1.Facility Name:KAISER FOUNDATION HOSPITAL ANAHEIM HOME HEALTH AG.
2.OSHPD ID Number:406300050
3.Street Address:17542 E 17TH ST
4.City:TUSTIN
5.Zip:92780
6.Facility Phone No.:( 714) 734 - 4500 ext.
7.Administrator Name:Joseph Tolentino
8.Administrator E-mail Address:joseph.b.tolentino@kp.org
9.Was this agency in operation at any time during the year?:Yes
10.Operation Open From:1/1/2016
11.Operation Open To:12/31/2016
12.Name of Parent Corporation:Kaiser Foundation Hospitals Anaheim
13.Corporate Business Address:3460 East LaPalma Ave
14.City:Anaheim
15.State:CA
16.Zip:92806 -
17.Person Completing Report:Terry Medcalf
18.Phone No.:714-279-6019
19.Fax No.:714-279-6025
20.E-mail Address:terry.g.medcalf@kp.org
25.Entity Type:Home Health Agency with Hospice Program
26.Entity RelationSole Facility
30.Submitted by:406300050
31.Submitted Date and Time:3/10/2017 3:58:39 PM
Section 2 - Home Health Agency
LICENSEE TYPE OF CONTROL
Line
No.		(1)
1.Select the one category that best describes the licensee type of control of your home health agency:Non-profit Corporation (incl. Church-related)
Medicare/Medi-Cal Certification
Line
No.		(1)
Certification
5.Medicare and Medi-Cal
Agency Accreditation Status
Line
No.		(1)
Accreditation Status
10.Accredited by ACHCNone
11.Accredited by CHAPNone
12.Accredited by JCAHODeemed Status
13.Accredited by otherNone
Home Infusion Therapy / Pharmacy Only
Line
No.		(1)
15.Is your agency a licensed Pharmacy?No
16.Do you have a Registered Nurse on staff who makes home visits?No
Note: If the facility is a licensed Pharmacy that only provides home infusion equipment, check “No” on line 40, then submit the report to OSHPD. The rest of the report is not applicable.
Special Services
Line
No.		(1)
20.AIDS ServicesNo
21.Blood TransfusionsNo
22.Enterostomal TherapyYes
23.IV Therapy (Includes Chemo and TPN)Yes
24.Mental Health CounselingNo
25.PediatricYes
26.Psychiatric NursingNo
27.Respiratory / Pulmonary TherapyNo
28.Non-hospice Palliative CareYes
29.OtherNo
Persons Receiving Services
Line
No.		(1)
30.Number of unduplicated persons seen by your agency during the reporting year.6,985
Home Health Care
Line
No.		Other Home Health Visits(1)
No. of Visits
31.Pre-Admission Screening / Evaluations0
32.Outpatient Visits0
33.Other0
34.Total0
Other Home Health Services (Home Care Service, e.g. Continous Care)
Note: Do not complete lines 50-54 if these services were provided by an organization other than your licensed agency
Line
No.		(1)
40.Did your agency perform other Home Care Services?No
41.How many total hours of other Home Care did your agency provide?0
Other Home Care Services, Staff, and Functions
Line
No.		(1)
50.Certified Nurse Assistant (CNA)No
51.Home Health AideNo
52.Homemaker ServicesNo
53.Non-intermittent Nursing (RN / LVN)No
54.OtherNo
Section 3 - Home Health Agency Patients And Visits
Patients And Visits By Age
Line
No.		Age(1)
Patients		(2)
Visits
1.0 - 10 Years7222,629
2.11 - 20 Years181570
3.21 - 30 Years2281,107
4.31 - 40 Years2441,353
5.41 - 50 Years3542,260
6.51 - 60 Years8706,841
7.61 - 70 Years1,59613,923
8.71 - 80 Years1,82316,858
9.81 - 90 Years1,72417,550
10.91 Years and Older5376,689
15.Total8,279 69,780
Admissions By Source Of Referral
Line
No.		Source Of Referral(1)
Admissions
21.Another Home Health Agency1
22.Clinic0
23.Family / Friend8
24.Hospice1
25.Hospital (Discharge Planner, etc.)4,842
26.Local Health Department0
27.Long Term Care Facility (SN / IC)734
28.MSSP0
29.Payer (Insurance, HMO, etc.)0
30.Physician2,070
31.Self0
32.Social Service Agency0
34.Other1
35.Total7,657
Discharges By Reasons
Line
No.		Reason for Discharge(1)
Discharges
41.Admitted to Hospital411
42.Admitted to SN / IC Facility73
43.Death73
44.Family / Friends Assumed Responsibility469
45.Lack of Funds1
46.Lack of Progress14
47.No Further Home Health Care Needed4,630
48.Patient Moved out of Area54
49.Patient Refused Service267
50.Physician Request12
51.Transferred to Another HHA26
52.Transferred to Home Care (Personal Care)1
53.Transferred to Hospice211
54.Transferred to Outpatient Rehabilitation1,147
59.Other23
60.Total7,412
Visits By Type Of Staff
Line
No.		Type of Staff(1)
Visits
71.Home Health Aide5,381
72.Nutritionist (Diet Counseling)0
73.Occupational Therapist2,209
74.Physical Therapist18,258
75.Physician0
76.Skilled Nursing42,078
77.Social Worker1,216
78.Speech Pathologist / Audiologist638
79.Spiritual and Pastoral Care0
84.Other0
85.Total69,780
Visits By Primary Source Of Payment
Line
No.		Source Of Payment(1)
Visits
91.Medicare2,577
92.Medi-Cal7
93.TRICARE (CHAMPUS)0
94.Other Third Party (Insurance, etc.)191
95.Private (Self Pay)9
96.HMO / PPO (Includes Medicare and Medi-Cal HMOs)66,978
97.No Reimbursement16
99.Other (Includes MSSP)2
100.Total69,780
Section 4 - Health Care Utilization
Patients And Visits By Principal Diagnosis For Which Care Was Given*
Line
No.		Principal Diagnosis
ICD-10-CM Codes
Patients
(1)		Visits
(2)
1.Infectious and Parasitic diseases (exclude HIV)A00-B99 (exclude B20)412
2.HIV infectionsB2000
3.Malignant neoplasms: LungC34, C78.0, C7A.090, D02.20-D02.2221317
4.Malignant neoplasms: BreastC50, C79.2, C79.80- C79.89, D05.90-D05.9213219
5.Malignant neoplasms: IntestinesC17-C21, C26.0, C78.4, C78.5, C7A.010-C7A.029, D01.0-D01.49984
6.Malignant neoplasms: All other sites, excluding those in #3, 4, 5C00-D09*68837
7.Non-malignant neoplasms: All sitesD10-D49110
8.Diabetes mellitusE08-E1312104
9.Endocrine, metabolic, and nutritional diseases; Immunity disordersE00-E07, E15-E888462
10.Diseases of blood and blood forming organsD50-D77, D80-D8943535
11.Mental disorderF01-F9900
12.Alzheimer's diseaseG30.0-G30.969
13.Disease of nervous system and sense organsG00-G26, G31-G96, G98-H57, H60-H9477566
14.Diseases of cardiovascular systemI10-I11, I13, I20-I527814,019
15.Diseases of cerebrovascular systemI60-I6959483
16.Diseases of all other circulatory systemI00, I02.9, I12, I15, I70-I96, I997255
17.Diseases of respiratory systemJ00-J94, J96-J991011,454
18.Diseases of digestive systemK00-K90, K9234231
19.Diseases of genitourinary systemN00-N53, N70-N971382,122
20.Diseases of breastN60-N6500
21.Complications of pregnancy, childbirth, and the puerperiumO00-O9A3621,054
22.Diseases of skin and subcutaneous tissueL00-L75, L80-L9986614,994
23.Diseases of musculosketal system and connective tissue (include pathological fx, malunion fx, and nonunion fx)M00-M95, M991,7789,040
24.Congenital anormalies and perinatal conditions (include birth fractures)P00-P96, Q00-Q9926
25.Symptoms, signs, and ill-defined conditions (exclude HIV positive test)R00-R99112
26.Fractures (exclude birth fx, pathological fx, malunion fx, nonunion fx)S02, S12, S22, S32, S42, S49, S52, S59, S62, S72, S79, S82, S89, S9286539
27.All other injuries, *excluding fracturesS00-T34* , T51-T7911131
28.Poisonings and adverse effects of external causesT36-T5024
29.Complications of surgical and medical careD78, E89, G97, H59, H95, I97, J95, K91, K94, L76, M96, N98-N99, T80-T8800
30.Health services related to reproduction and developmentZ00.1-Z00.3, Z30-Z36, Z39, Z76208782
31.Infants born outside hospital (infant care)Z38.1, Z38.2, Z38.4, Z38.5, Z38.7, Z38.800
32.Health hazards related to communicable diseases (exclude HIV test result)Z21-Z28, Z77-Z9900
33.Other health services for specific procedures and aftercareZ40-Z531,0837,660
34.Visits for Evaluation and AssessmentZ00.0, Z01-Z18, Z55-Z682,49823,839
45.Total8,27969,780
** The list of ICD-10-CM codes excluded: V00-Y99, Z37, and Z52.
How many of the patients you reported in Section 3 "Patients and Visits by Age" Table had a principal or secondary diagnosis of HIV or Alzheimer's Disease and how many health care visits were made to them? The principal diagnosis for which an HIV or Alzheimer's patient was visited may have been a fracture, a skin infection, cancer, or any number of principal diagnoses. What we are asking relates to the number of HIV or Alzheimer's patients among your total patient load, regardless of the nature of the treatment received or the principal diagnosis of the patient.
Line
No.		ICD-10-CM Code(1)
Patients		(2)
Visits
51.HIVB2066
52.Alzheimer's DiseaseG30.0-G30.991146
Section 5 - Hospice Description
LICENSEE TYPE OF CONTROL
Line
No.		(1)
1.Select the one category that best describes the licensee type of control of your hospice from drop down list:Non-profit Corporation (incl. Church-related)
Medicare/Medi-Cal Certification
Line
No.		(1)
Certification
5.Medicare and Medi-Cal
Hospice Accreditation Status
Line
No.		(1)
Accreditation Status
10.Accredited by ACHCNone
11.Accredited by CHAPNone
12.Accredited by JCAHODeemed Status
13.Accredited by otherNone
Agency Type As Reported On Medicare Cost Report
Line
No.		(1)
20.Hospital based
Location of Service Delivery
Line
No.		(1)
25.Primarily Urban
Section 6 - Hospice Services
Bereavement Services
Line
No.		Bereavement Services(1)
People Served
1.Survivors of hospice patients515
2.Survivors of persons not receiving hospice care25
Volunteer Services
Line
No.		Volunteer Services(2)
Volunteer Hours
3.Patient / Family Services482
4.Bereavement988
5.Administrative334
6.Medicare Reportable Hours
(sum lines 3-5)		1,804
7.Fundraising0
9.Other0
10.Total1,804
Additional And Specialized Services
Check all services directly provided by OR contracted for by the hospice.
Line
No.		Additional and Specialized Hospice Services(1)
Services
11.Hospice Inpatient Facility / UnitNo
12.Specialized Pediatric ProgramNo
13.Bereavement services to survivors of persons not receiving hospice careYes
14.Adult Day CareNo
15.Hospice Physician Consultation VisitsNo
16.Non-hospice Palliative Care Service ProvidedNo
17.Other ServicesNo
(1) If Line 11 is checked then complete Section 11, Lines 1 through 20.
Visits By Type Of Staff
(Include After-Hours and Bereavement Visits)
Line
No.		Type of Staff(1)
Visits
21.Nursing - RN7,372
22.Nursing - LVN503
23.Social Services1,258
24.Hospice Physician Services149
25.Homemaker and Home Health Aide4,374
26.Chaplain794
29.Other Clinical Services57
30.Total14,507
Section 7 - Hospice Patient Information
Unduplicated Hospice Patients By Gender And Age Category
Line
No.		Age
(1)

Male
(2)

Female		(3)
Other / Unknown
(4)

Total
1.0 - 1 Years0000
2.2 - 5 Years0000
3.6 - 10 Years0000
4.11 - 20 Years0000
5.21 - 30 Years3148
6.31 - 40 Years23510
7.41 - 50 Years781530
8.51 - 60 Years244165130
9.61 - 70 Years6060120240
10.71 - 80 Years8663149298
11.81 - 90 Years112109221442
12.91 + Years3374107214
15.Total3273596861,372
Unduplicated Hospice Patients By Gender and Race
Line
No.		Race
(1)

Male
(2)

Female		(3)
Other / Unknown
(4)

Total
21.White147164311622
22.Black44816
23.Native American0112
24.Asian / Pacific Islander10132346
25.Other / Unknown166177343686
26.More than one race0000
30.Total3273596861,372
Unduplicated Hospice Patients By Gender And Ethnicity
Line
No.		Ethnicity
(1)

Male
(2)

Female		(3)
Other / Unknown
(4)

Total
31.Hispanic13193264
32.Non-Hispanic3143406541,308
33.Unknown0000
35.Total3273596861,372
Hospice Patients Discharged By Reason
Line
No.		Reason for Discharge(1)
Patients
61.Death430
62.Patient Moved Out of Area5
63.Patient Refused Service23
64.Transferred to Another Local Hospice6
65.Prognosis Extended34
66.Patient Desired Curative Treatment11
69.Other72
70.Total581
Hospice Patients Discharged By Length Of Stay
Line
No.		Length of Stay
(Days)		(1)
Patients
71.0-7 Days111
72.8-30 Days263
73.31-90 Days124
74.91-179 Days55
75.180+ Days28
85.Total581
Hospice Patient Admissions By County And Discharges By Disposition
Line
No.
(1)
County of Patients's
Residence at Time of Admission
(2)

No. of
Admissions
(3)

No. of
Deaths		(4)
No. of
Non-Death Discharges		(5)
No. of
Patients Served
91.Orange6033951621,255
92.Los Angeles50358117
93.0000
94.0000
95.0000
96.0000
97.0000
98.0000
99.0000
100.Total6534301701,372
Number Of Hospice Admissions By Diagnosis
Line
No.		Diagnosis
ICD-10-CM Codes

No. of New
Admissions

(1)
Re-admissions
Previously Seen
by Another
Hospice
Program

(2)
Re-admissions
Previously Seen
by This
Hospice
Program
(3)
Total
Admissions
(1)+(2)+(3)
(4)
101.CancerC00-D0935947406812
102.HeartA01.02, A18.84, A32.82, A36.81, A39.5, A52.00, A52.03, A52.06, A54.83, B26.82, B33.2, B37.6, B58.81, I01-I09, I10-I11, I13, I20-I52, I97.0-I97.1, I97.3-I97.7, M05.3, M32.11-M32.12, T82.0-T82.2, T82.5-T82.9, T86.2-T86.3611980160
103.Dementia & Cerebral
Degeneration		A50.17, F01-F09, F10.27, F10.97, F13.27, F13.97, F18.27, F18.97, F19.27, F19.97, G30-G32601575150
104.Lung, excluding cancerA01.03, A02.22, A15, A22.1, A36.0-A36.2, A37, A42.0, A43.0, A54.5, A54.84, B00.2, B01.2, B05.2, B06.81, B08.5, B25.0, B37.1, B38.0-B38.2, B59, B77.81, J00-J99, M32.13, T81.82, T86.830104080
105.Kidney, excluding cancer
and diabetic
kidney disease
A02.25, A18.11, A36.84, A54.21, A51.44, I12, I15.0-I15.1, M32.14-M32.15, N00-N29, T82.4, T86.11001020
106.Liver, excluding cancerA06.4, A51.45, A52.74, B00.81, B15-B19, B25.1, B26.81, B58.1, B67.0, B67.5, B67.8, K00-K77, K91.81, T86.470714
107.HIVB200000
108.Brain Stroke and late effectsA52.04, A52.05, G45, I60-I69, I97.81-I97.8252714
109.Coma, with or without brain injuryR40.0-R40.4, S060000
110.DiabetesE08-E131012
111.ALS*G12.210224
112.GI disease, excluding cancerK25-K63, K921012
113.Multiple SclerosisG352024
114.Congenital DefectsQ00.0 - Q99.90000
115.General Debility and Failure to ThriveG93.3, R41.81, R53.8, R54, R62.51, R62.70000
119.OtherAll other codes that are not in lines 101-115821799198
120.TOTAL6181127301,460
*Amytrophic lateral sclerosis (ALS), also called Lou Gehrig's Disease
Section 8 - Hospice Utilization
Please provide the number of patients discharged during calendar year reported regardless of payment source. Count the patient only under the principal diagnosis for which the patient was admitted for hospice care. Report each patient only once. The ICD-10-CM codes are provided only as a guide to you. You may use definitions for diagnosis groups or the Local Medical Review Policy (LMRP) diagnosis codes from your fiscal intermediary, provided they match in a general way with the ICD-10-CM codes.
Discharged Hospice Patients, Visits And Patient Days By Diagnosis
Line
No.		Diagnosis
ICD-10-CM Codes
Number of Live Discharges

(1)
No. of Discharges due to Death

(2)
Total Number of Discharges

(3)
Visits for Discharged Patients

(4)
Discharged Patients Total Days of Care

(5)
1.CancerC00-D09502773278,02217,097
2.HeartA01.02, A18.84, A32.82, A36.81, A39.5, A52.00, A52.03, A52.06, A54.83, B26.82, B33.2, B37.6, B58.81, I01-I09, I10-I11, I13, I20-I52, I97.0-I97.1, I97.3- I97.7, M05.3, M32.11-M32.12, T82.0-T82.2, T82.5-T82.9, T86.2-T86.31546611,6523,108
3.Dementia and Cerebral DegenerationA50.17, F01-F09, F10.27, F10.97, F13.27, F13.97, F18.27, F18.97, F19.27, F19.97, G30-G322032521,7403,122
4.Lung, excluding cancerA01.03, A02.22, A15, A22.1, A36.0-A36.2, A37, A42.0, A43.0, A54.5, A54.84, B00.2, B01.2 B05.2, B06.81, B08.5, B25.0, B37.1, B38.0-B38.2 B59, B77.81, J00-J99, M32.13, T81.82, T86.81026361,7663,881
5.Kidney, excluding cancerA02.25, A18.11, A36.84, A54.21, A51.44, I12, I15.0- I15.1, M32.14-M32.15, N00- N29, T82.4, T86.1246114234
6.Liver, excluding cancerA06.4, A51.45, A52.74, B00.81, B15-B19, B25.1, B26.81, B58.1, B67.0, B67.5, B67.8, K00-K77, K91.81, T86.40445392
7.HIVB2000000
8.Brain Stroke and late effectsA52.04, A52.05, G45, I60- I69, I97.81-I97.82167198379
9.Coma, with or without brain injuryR40.0-R40.4, S0600000
10.DiabetesE08-E1301197
11.ALS*G12.2101170156
12.GI disease, excluding cancerK25-K63, K920111318
13.Multiple SclerosisG351121622
14.Congenital DefectsQ00.0 - Q99.900000
15.General Debility and Failure to ThriveG93.3, R41.81, R53.8, R54, R62.51, R62.700000
19.OtherAll other codes that are not in lines 1-11.1766832,3604,474
20.Total11646558116,01332,590
* Amyotrophic lateral sclerosis (ALS), also called Lou Gehrig's Disease
Section 9 - Hospice Care and Source of Payment
Please provide patient days for all patients served, including those in nursing facilities during the calendar year reported. Patients who change primary pay source during the calendar year reported should be reported for each pay source with the number of days of care recorded for each source (count each day only once even if there is more than one pay source on any one day).
Level of Care and Source of Payment
Line
No.		Source of Payment(1)
No. of Patients Served		(2)
Days of Routine Home Care		(3)
Days of Inpatient Care		(4)
Days of Inpatient Respite Care		(5)
Days of Continuous Care		(6)
Total Patient Care Days
1.Medicare10116000116
2.Medi-Cal000000
3.Medi-Cal Managed Care47400074
4.Managed Care42437,80900037,827
5.Private Insurance000000
6.Self Pay000000
7.Charity000000
8.Veterans Administration000000
9.Other*2912,9200002,920
10.Total72940,919018040,937
* Other payment sources may include but not limited to Workers Comp., Home Health benefit, etc.
Location of Care Provided
Line
No.		Location of Care(1)
No. of Patients Served		(2)
Days of Routine Home Care		(3)
Days of Inpatient Care		(4)
Days of Inpatient Respite Care		(5)
Days of Continuous Care
(6)

Total Patient Care Days
21.Home71340,087040,087
22.Hospital00000
23.SNF40018018
24.CLHF000000
25.RCFE / ARF / RCFCI128320832
26.ICF / MR0000
27.Prison0000
28.Homeless0000
29.Other000000
30.Total72940,919018040,937
Section 10 - Hospice Income and Expenses Statement
Detail Of Operating Expenses
Line
No.		(1)
Total
General Service Cost Centers
30.Administrative and General$0
Inpatient Care Service
31.Inpatient - General Care$0
32.Inpatient - Respite Care$0
Program Supervision
35.Hospice Program / Team Supervision (Non-visit wages)$0
Visiting Services
36.Physician Services$0
37.Nursing Care$0
38.Rehabilitation Services (PT, OT, Speech)$0
39.Medical Social Services - Direct$0
40.Spiritual Counseling$0
41.Dietary Counseling$0
42.Counseling - Other$0
43.Home Health Aides and Homemakers$0
44.Other Visiting Services$0
Hospice Service Cost Centers
45.Drugs, Biologicals and Infusion$0
46.Durable Medical Equipment / Oxygen$0
47.Patient Transportation$0
48.Imaging, Lab and Diagnostics$0
49.Medical Supplies$0
50.Outpatient Services (including ER Dept.)$0
51.Radiation Therapy$0
52.Chemotherapy$0
53.Other Hospice Service Costs$0
Other Hospice Costs
54.Bereavement Program Costs$0
55.Volunteer Program Costs$0
56.Fundraising$0
Other Costs
57.Other Program Costs*$0
59.Total Operating Expenses$0
* Program costs including community education and outreach program costs.
Hospice Income Statement
Line
No.		(1)
Total
Gross Patient Revenue
Gross Patient Revenue for Hospice Four Levels of Care
101.Medicare$0
102.Medi-Cal (Excluding SNF Room and Board)$0
103.Medi-Cal Managed Care (Excluding SNF Room and Board)$0
104.Managed Care (Non Medi-Cal)$0
105.Private Insurance$0
106.Self-Pay$0
109.Other Payers$0
110.Total Revenue for Hospices Four Levels of Care$0
Room & Board Revenue
1101.SNF Room & Board pass Through Receivable from Medi-Cal$0
1102.Medi-Cal Room & Board Contractual Payments to SNF( $0)
1103.Net Room & Board Revenue$0
1104.Total Gross Patient Revenue (Sum of Lines 110 and 1103)$0
Write-Offs and Adjustments
111.Contractual Adjustments$0
112.Denials / Bad Debt$0
113.Charity$0
119.Other Write-offs and Adjustments$0
120.Total Write-Offs and Adjustments (sum of lines 111 through 119)$0
125.Net Patient Revenue (line 1104 minus line 120)$0
Other Operating Revenue
131.Grants$0
132.Donations / Contributions$0
133.Unrelated Business Income$0
139.Other$0
140.Total Other Operating Revenue (sum of lines 131 through 139)$0
145.Total Operating Revenue (line 125 plus line 140)$0
Operating Expenses
160.Total Operating Expenses (from line 59)$0
165.Net from Operations (line 145 minus line 160)$0
170.Income Tax$0
175.Net Income (line 165 minus line 170)$0
Section 11 - Hospice Inpatient Facility/Unit
HOSPICE OPERATED SITES AND NUMBER OF BEDS
Line
No.		(1)
Name		(2)
Address		(3)
City		(4)
State		(5)
Zip		(6)
Type of Licensed Beds		(7)
No. of Beds
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.Total0
LEVELS OF CARE HOSPICE SITES PROVIDE
Line
No.		Type of Care(1)
No. of Patient days
11.General Inpatient Care0
12.Inpatient Respite care0
13.Continuous Care0
14.Routine Care0
20TOTAL0
General Comments:
Errors and Warnings