Every finding on record at A to Z Hospice, Inc

Upon patient record review, 1 of 14 (Patient #2) 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 #2: During home visit medication reconciliation the patient had Tylenol 625mg on hand. This medication was not included on the hospice medication profile. Daughter had purchased medication and had not informed hospice prior to this home visit. Corrected on site.

Upon patient record review, 1 of 14 (Patient #10) did not have evidence in the patient record that the comprehensive assessment includes a bereavement component which includes the needs of the patient's family and other individuals focusing on the social, spiritual, and cultural factors that may impact their ability to cope with the patient's death. Information gathered from the initial bereavement assessment is incorporated into the plan of care and is considered in the bereavement plan of care. Patient #10: There was no initial bereavement risk assessment in patient record. Patient had admitted on 2/18/25 and passed on 2/20/25. Agency has a ticket in with Hospice MD.

Upon patient record review, 3 of 14 (Patients #1,2,4) 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 equipment and supply needs. Patient #1: This patient had a bedside commode. This item was not included on the Plan of Care. Corrected on site. Patient #2: This patient had a bedside commode and walker. These were not included on the Plan of Care. Corrected on site. Patient #4: The record reflected that this patient had an oxygen concentrator. This item was not included on the Plan of Care. Corrected on site.

Upon patient record review, 1 of 14 (Patient #10) did not have evidence the hospice offers bereavement counseling that includes: • Development of a bereavement plan of care that notes the kind of bereavement services to be offered and the frequency of service delivery Patient #10: There is no bereavement plan of care in patient record. The record does indicate a bereavement letter was sent at one month (3/20/25).