Every finding on record at Astra Health Services, Inc

Upon patient record review 1 of 14 (Patient #2) did not have evidence in the patient record that the hospice interdisciplinary group, in consultation with the individual's attending physician (if any), completed the comprehensive assessment no later than 5 calendar days after the election of hospice care. Patient 2: The patient was admitted for hospice services on 06.02.2023; however, the MSW did not complete the initial comprehensive psychosocial assessment until 06.13.2023, which exceeded the 5 day requirement.

Upon patient record review, 2 of 14 (Patient #5, 8) 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 Patient 5: The medication list indicates furosemide 20 mg 1 tab po daily PRN; however, there is no specifier for the PRN use of this medication.(corrected onsite) Patient 8: The medication list indicates DuoNebs 1 vial via nebulizer q 4-6 hrs PRN; however, there is no specifier for the PRN use of this medication.(corrected onsite)

Upon patient record review, 1 of 14 (Patient #8) 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 equipment and supply needs. Patient 8: The patient's medication list indicates use of DuoNebs vis nebulizer; however, a nebulizer does not appear on the plan of care. The Alternate Administrator confirmed that the patient does have a nebulizer in the home for medication administration. (corrected onsite)