Every finding on record at Avista Hospice Arizona LLC

Upon patient record review, 1 of 10 (Patient #1) did not have evidence that a review was completed of all prescription and non-prescription medications, that could affect drug therapy. Patient 1 was on a High Risk Diabetic Medication Novolog pen 100 units per ml/ injectable 3 times a day based on sliding scale, medication profile did not specify the method of injection.

Upon patient record review, 2 of 10 (Patient #1 and 3) it was reviewed the plan of care did not specifically include all services necessary for the palliation and management of the terminal illness and related conditions, including medications and treatments. Patient 1 was on a High Risk Diabetic Medication Novolog pen 100 units per ml/ injectable 3 times a day based on sliding scale, ordered on 2/17/2023 which did not specify the method of injection. Patient 3 Initial Comprehensive assessment included that Oxygen was continuous at 2 lpm via nasal cannula, visit notes dated 1/18/23, 1/20/23 1/27/23, and 2/17/23 Oxygen was documented at 2 Lpm via NC. There was no physician order or change made in the plan of care for the Oxygen administration.

Upon patient record review, 2 of 10 (Patients #3 &4) the plan of care did not include all services necessary for the palliation and management of the terminal illness and related conditions, including all equipment and supply needs. Patient# 3 Comprehensive assessment dated 2/09/23 included that patient had a wheelchair that was not included in the Plan of Care which, is necessary for the palliation and management of the terminal illness and related conditions. Patient #4 Comprehensive assessment dated 2/16/23 included that patient had a walker that was not included in the Plan of Care which, is necessary for the palliation and management of the terminal illness and related conditions.