Every finding on record at Ahpc Palm Desert, Inc.

Upon patient record review, 2 of 14 (Patients #1,#10) 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 Patient 1: Patient has lorazepam concentrate in home, medication is not listed on medication profile. Patient 10: Patient has order for Zofran as needed for nausea ordered on 6/1/2/25, medication is on hospice medical administration record and has been updated on the in home medication administration record, but the medication is not in the home for patient to use.

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: Lorazepam concentrate in home, but no order found on chart for use.

Upon patient record review, 3 of 14 (Patients #6, #7, #9) 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 6: In recert visit on 5/28/25, nurse identifies that patient has air mattress and bedside table, there are no orders for this medical equipment that can be found. Patient 7: In recert visit on 4/17/25, nurse identifies that patient has a hospital bed, there are no orders for this medical equipment that can be found. Patient 9: In recert visit on 5/27/25, nurse identifies that patient has air mattress, there are no orders for this medical equipment that can be found.

Upon patient record review, 4 of 14 (Patients #2, #6, #8, #9) did not have evidence that the medical director or physician designee provides written certification that it is anticipated that the patient's life expectancy is 6 months or less if the illness runs its normal course. The physician must consider the following when making this determination: • Current subjective and objective medical findings • Current medication and treatment orders • Information about the medical management of any of the patient's conditions unrelated to the terminal illness Patients #2, 6, 8, 9: The Physician narrative is identical to the nurse admit or recertification narratives.