Every finding on record at 24/7 Hospice Inc

Upon patient record review, 1 of 14 (Patient #1) did not have evidence in the patient record that a review was completed of all prescription and non-prescription medications, including herbal remedies that could affect drug therapy. This review includes, but is not limited to: • Effectiveness of drug therapy • Drug side effects • Actual or potential drug interactions • Duplicate drug therapy • Drug therapy currently associated with laboratory monitoring Patient #1: During the home visit the patient was noted to be using Timolol and Systane eye drops. These medications were not on listed on the medication profile. This was corrected on site.

Upon patient record review, 1 of 14 (Patient #4) did not have evidence in the patient record that the hospice has developed an individualized written plan of care for each patient. The plan of care must reflect patient/family goals and interventions based on the problems identified in the initial, comprehensive, and updated comprehensive assessments. The plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions. Patient #4: On the nurses note dated 6/23/2023, there is evidence of foley catheter being ordered by the physician and being placed by the nurse. There is no evidence of nursing problem statement with goals, interventions and progress towards outcomes. This was corrected on site.

Upon patient record review, 1 of 14 (Patient #1) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including medications and treatments. Patient #1: During the home visit the patient was noted to be using Timolol and Systane eye drops. These medications were not listed on the plan of care. This was corrected on site.

Upon observation, there was no evidence the hospice follows acceptable standards of practice to prevent the transmission of infections and communicable diseases, including standard precautions. Patient #1: The nurse performing the home visit did not use a barrier when placing the nursing bag down in the patients home. The bag was placed directly on the patients couch and coffee table. The agency's policy states that there will be a barrier placed prior to putting down the nursing bag to ensure a clean surface.