Every finding on record at Aster Hospice LLC

It is required that the documented comprehensive assessment includes a drug profile that contains the patient's current: Prescription, over-the-counter (OTC) drugs and Supplements. The drug profile is updated per the hospice policy and procedure, but, at minimum, at the time of each comprehensive assessment and/or when new medication is added or changes are made to existing medication. This standard was not met as evidenced by Clinical Record Review and Interview. 3 of 5 (60%) records revealed the hospice did not ensure the medication profiles were updated and drug regimen reviews occurred when new medications were ordered for patients. There was no documented evidene that drug reviews were completed. Record # 92439 was reviewed and identified the elected hospice care on 02/21/22. The RN documented in the progress note, dated 5/12/2022: the new order for Tylenol 500mg PRN for mild pain effective 5/12/22 was not updated on the drug profile 06/16/22. During an interview on 6/16/22, the Alternate Director of Nursing (DON) (#13454) confirmed “the patient was taking Tylenol and they forgot to add it to the drug profile on the plan of care”. Record #14439 was reviewed and identified the patient elected hospice care on 3/17/22. The RN documented in the admission notes dated 3/17/22, patient was on 2 Liters of Oxygen per nasal cannula, this was not updated on the drug profile on the plan of care at the time of the review on on 6/16/22. During an interview on 6/16/22, the Alternate DON confirmed “that the patient was on Oxygen as needed per her admission notes 3/17/22 and they forgot to add it to the drug profile on the plan of care". Record #73364 was reviewed and identified the patient elected hospice care 5/12/2. The RN documented in the admission notes dated 5/12/22, patient was on 2 Liters of Oxygen per nasal cannula, this was not updated on the drug profile on the plan of care effective on 6/16/22. During an interview on 6/16/22, the Alternate DON (#13454) confirmed “that the patients were on Oxygen as needed and they forgot to add it to the drug profile on the plan of care per her admission notes 5/12/22".