Every finding on record at Angeles Hospice Care Inc.

Upon patient record review, 1 of 5 (Patient #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 #3: The medication profile contained Miralax powder by mouth 17 GM. May take 1 scoop/capful by mouth daily as needed for constipation. There was not evidence of a diluent included on the medication profile.

Upon patient record review, 1 of 5 (Patient #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 #3: The record contained an order for Miralax powder by mouth 17 GM. May take 1 scoop/capful daily as needed for constipation. There was no evidence a diluent was included in the order.

Upon personnel record review, 1 of 14 (Personnel #5) did not have evidence that a skills competency assessment, specific to each discipline had been conducted for all personnel including volunteers initially during orientation. Personnel #5: The personnel file did not contain a completed initial social worker competency for the agency at the time of survey.