Every finding on record at Allegiance Hospice, LLC

Upon patient record review, 4 of 14 (Patient #1,#2,#4,#7) 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, 2, 4, 7: On admission, the patient's medication administration record with entry of oxygen profiled to be delivered at 2-4 liters per minute via nasal cannula. There was no evidence that instructions for titration for 2-4 LPM included on the medication profile. Corrected on site.

Upon patient record review, 3 of 14 (Patient #6,#13,#14) 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 6: The patient's medical record contains medical social worker documentation of psychosocial needs of the patient and family identified on the initial and subsequent comprehensive assessments. There was no evidence of problems with goals and interventions related to psychosocial issues. Corrected on site Patient 13: The patient's medical record contains nursing documentation of use of thickener for liquids and the medication administration record included thick it profiled for use. There was no evidence of problems with goals and interventions related to altered diet or thickened liquids in the plan of care. Corrected on site. Patient 14: The patient's medical record contains documentation that the medical social worker visits were discontinued per family request on 3/1/23. There is no evidence that updates were made to the plan of care to reflect the change. Corrected on site.

Upon patient record review, 4 of 14 (Patient #1,#2,#4,#7) 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, 2, 4, 7:Upon admission, the patient's plan of care includes order for oxygen at 2 - 4 liters per minute via nasal cannula. There is no evidence of instructions for titration when to utilized 2-4LPM. Corrected on site