Every finding on record at Amedisys Hospice, L.L.C.

Upon patient record review, 2 of 14 (Patient #1,9) 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: There is evidence in a nurses note 10/23/25 "skin tear present left hand, RN changed dressing". There is no evidence of an order for dressing change. Patient #9: There is evidence in the medical record that a Glucometer was ordered for the patient on admission. There was not an order for the use or frequency of blood sugar monitoring.

Upon patient client record review, 1 of 14 (Patient #3) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Electronic signatures are acceptable as long the hospice is following appropriate safeguards to prevent unauthorized access to the patient records. Patient #3: There is evidence in the medical record of a F2F on 11/5/25 that indicates the patient with Alzheimer's disease is a FAST 7D. On 11/6/25 the RN noted the patient to be FAST 7A and on 11/25/25 the Physician CTI noted the patient was a 6E. The record is not clear as to the patient's FAST score.

Based on facility policy, medical record review, observation and interview, the facility failed to ensure nursing staff updated the medications in the home for 3 of 3 (Patient #1, 2 and 3) patients observed during home visits. --- The findings included: 1. Review of the facility policy "Medication Mangement Policy- Tennessee" revealed, "...Medication Profile: Medication profile will be established by the Registered Nurse upon admission to the hospice program. The medication Plan of Care (POC) will include all prescription and over the counter medications... A current mediation profile will remain in the patient's home folder and will be updated as modifications are made..." 2. Medical record review for Patient #1 revealed a 93-year-old female with a start of care on 11/9/2022, and a primary diagnosis of Senile degeneration of the brain. Observations in Patient #1's home on 2/6/2022 at 2:45 PM revealed the following over the counter medications that were not documented on the Hospice Medication report: Melatonin 10 milligram (mg) 1/2 pill at night, Stool softener 100 mg tablets and Zyrtec 10 mg. In an interview on 2/6/2023 at 2:45 PM, Patient #1's daughter verified she gave the OTC medications to her mother as needed. 3. Medical record review for Patient #2 revealed an 80-year-old female with a start of care on 2/5/2022, and a primary diagnosis of Senile degeneration of the brain. Observations in Patient #1's home on 2/7/2023 at 11:45 AM revealed the following medications that were documented on the Hospice Medication report but were no longer in the home: Fluconazole 150 mg tablet take one as directed for yeast infection. In an interview on 2/7/2023 at 11:48 AM, Registered Nurse (RN) #1 stated the medication was a one-time does and should have a documented end date. 4. Medical record review for Patient #3 revealed an 82-year-old male with a start of care on 5/26/2022, and a primary diagnosis of Malignant neoplasm of the right kidney. Observations in Patient #1's home on 2/7/2022 at 1:30 PM revealed the following medication in the home that was not documented on the Hospice Medication report: Meclizine 25 mg every 6 hours as needed for dizziness. In addition, the following medication was documented on the hospice Medication report but could not be located in the home: Benzonatate 100 mg capsule every 8 hours as needed. In an interview on 2/7/2023 at 1:36 PM, the Hospice Vice President of Clinical Services verified the Meclizine was not documented on the medication list and verified she was unable to locate the Benzonatate.