Every finding on record at Atrium Nevada LLC

Upon patient record review, 1 of 14 (Patient 9) 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 9 medication profile includes "Imodium A-D 2mg soft gel 1 cap orally, take 2 caps by mouth initially, then 1 cap after every loose stool as needed for diarrhea" with no daily dosage limit.

Upon patient record review, 1 of 14 (Patient 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 9 Plan of Care includes "Imodium A-D 2mg soft gel 1 cap orally, take 2 caps by mouth initially, then 1 cap after every loose stool as needed for diarrhea" with no daily dosage limit.

Upon patient record review 6 of 17 (Patient 1, 2, 8, 9, 10, 11) did not have evidence documentation in the patient record that a hospice aide provides services that are: • Ordered by the interdisciplinary group • Included in the plan of care • Permitted to be performed under state law by such hospice aide • Consistent with the hospice aide training Patient 1 Hospice Aide ordered 5 X W per plan of care. Week of 11/26/23-12/02/23 no evidence of HHA visits completed with no evidence of missed visit. Patient 2 Hospice Aide ordered 3 X W per plan of care. Week of 12/31/23-01/06/24 only 2 visits completed with no evidence of missed visit. Patient 8 Hospice Aide ordered 5 X week effective 12/13/23. Week of 12/10/23-12/16/23 seen 2 x only with no evidence of missed visit. Patient 9 Hospice Aide ordered 5 X W per plan of care. Week of 12/03/23-12/09/23 only 1 visit made with no evidence of missed visit. Patient 10 Hospice Aide ordered 3 X W per plan of care. Week of 11/26/23-12/2/23 seen 1 x only with no evidence of missed visit. Patient 11 Hospice Aide ordered 3 X W per plan of care. Week of 12/3/23-12/9/23 only 2 visits completed with no evidence of missed visit.