Every finding on record at Alliance Home Health & Hospice LLC

Upon patient record review, 2 of 14 (Patient #8,#10) did not have evidence that the patient chooses a health care provider, including an attending physician. #8 - Choice of attending physician on election of benefits dated 01/08/24 was left blank. #10 - Choice of attending physician on election of benefits dated 04/30/24 was left blank.

Upon patient record review, 1 of 14 (Patient #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 • Duplicate drug therapy • Drug therapy currently associated with laboratory monitoring #10 - Oxygen 5L listed on medication profile dated 4/30/24 without any instructions for route or frequency

Upon patient record review, 1 of 14 (Patient #10) 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. #10 - Oxygen 5L listed on plan of care dated 4/30/24 without any instructions for route or frequency.

Upon patient client record review, 2 of 14 (Patient #8,10) did not have evidence that each patient record contains: • Signed copies of the notice of patient rights in accordance with 418.52 • Signed election statement in accordance with 418.24 #8 - Choice of attending physician on election of benefits dated 01/08/24 was left blank. #10 - Choice of attending physician on election of benefits dated 04/30/24 was left blank.