Every finding on record at Allied Pacific Hospice LLC

Upon patient record review, 1 of 14 (Patient #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 • Drug therapy currently associated with laboratory monitoring #14-Notes document the use of oxygen @ 5L/min via nasal cannula. No evidence of oxygen on medication profile.

Upon patient record review, 1 of 14 (Patient #12) 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. #12-Bereavement assessment performed 21 days after Start of Care.

Upon patient record review, 1 of 14 (Patient #14) 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. #14-Notes document the use of oxygen @ 5L/min via nasal cannula. No evidence of an order for oxygen in record.

Upon observation, there was no evidence the annual report documents the use of volunteers providing day to day administrative and/or direct patient care services in an amount that, at a minimum, equals 5 percent of the total patient care hours of all paid hospice employees and contract personnel. Volunteer hours totaled 0.51%. Total visit/service hours totaled 736.01, and volunteer visit/service hours totaled 3.75