Every finding on record at Aludra Inc

Upon patient record review, 1 of 14 (Patient 5) 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 5 medication profile includes "Donepezil Hydrochloride 10 mg tab ophthalmic once daily" with unclear route.

Upon observation, there was no evidence the hospice has an interdisciplinary group (IDG) or groups composed of individuals who work together to meet the physical, medical, psychosocial, emotional, and spiritual needs of the hospice patients and families facing terminal illness and bereavement. Interdisciplinary group members must provide the care and services offered by the hospice, and the group, in its entirety, must supervise the care and services. The agency was not able to evidence that all disciplines participate in the review and revision of the patient plan of care regularly. The nurse and the physician participate in all of the IDG's but the social worker and the chaplain do not attend all meetings. The agency is required to have all IDG members involved/represented even if the patient is not receiving all services in order to ensure the patient's needs are addressed.

Upon patient record review, 1 of 14 (Patient 5) 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 5 plan of care includes "Donepezil Hydrochloride 10 mg tab ophthalmic once daily" with unclear route.