Every finding on record at Allied Hospice Care Inc.

Upon patient record review, 14 of 14 (Patient # 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14) 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 Patient # 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14: The patients' PRN oxygen did not appear on the medication lists. (corrected onsite for all active patients)

Upon client record review, 1 of 14 (Patient #7) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient 7: MSW services are ordered for 1 x on admission for assessment and 1 x at every recertification for psychosocial support; however, the MSW saw the patient on 11.09.2023 and 12.08.2023. There were no orders present for these additional visits.

Upon patient record review, 1 of 14 (Patient #5) did not have evidence in the patient record that hospice aide assignments and duties are: • Assigned to a specific patient by a registered nurse that is a member of the interdisciplinary group • Written patient care instructions for a hospice aide must be prepared by a Registered Nurse who is responsible for the supervision of a hospice aide as specified under paragraph (h) of 418.76 • There is evidence in the patient record that the plan of care; indicate what tasks are to be done by the Aide and the frequency of these tasks. The use of “PRN” or “per patient choice”, for any task, whether personal care or non-personal care tasks, are not acceptable Patient 5: The hospice aide care plan indicates that services are to be performed 2 x weekly per patient's request, which is not acceptable. (corrected onsite)