Every finding on record at Ameri Hospice Care Inc.

Upon patient record review, 2 of 14 (Patient #2, 3) 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 2 medication profile included "Loperamide 2 mg tab 1 tab by mouth 3 times daily prn diarrhea." The medication was not in the home and the patient was no longer taking the medication. Patient 3 medication profile included "Loperamide 4 mg cap take 2 caps after the first loose stool then 1 cap after each loose stool NTE 8 caps in 24 hours." The medication in the home was "Loperamide 2 mg tabs take 2 tabs after the first loose stool then 1 tab after each loose stool NTE 8 tabs in 24 hours."

Upon patient record review, 2 of 14 (Patient #2, 3) 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 2 plan of care included "Loperamide 2 mg tab 1 tab by mouth 3 times daily prn diarrhea." The medication was not in the home and the patient was no longer taking the medication. Patient 3 plan of care included "Loperamide 4 mg cap take 2 caps after the first loose stool then 1 cap after each loose stool NTE 8 caps in 24 hours." The medication in the home was "Loperamide 2 mg tabs take 2 tabs after the first loose stool then 1 tab after each loose stool NTE 8 tabs in 24 hours."

Upon patient record review, 1 of 1applicable (Patient #5) did not have evidence in the patient record that hospice aide assignments and duties include the tasks to be provided and the frequency of those tasks. Patient #5 The aide assignment sheet had assigned tasks but did not have frequency for any of the tasks to be performed.

Upon patient client record review, 1 of 5 (Patient #5) 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. Patient #5The 8/5/21 MSW visit did not contain credentials with the associated signature and date.