Every finding on record at Bayada Home Health Care, Inc

It is required that the documented comprehensive assessment includes a drug profile that contains the patient's current prescription and over-the-counter (OTC) drugs; supplements; herbal remedies; [and] other alternative treatments that could affect drug therapy. The assessment includes evidence that common side effects of medication in the hospice populations are anticipated, and, as appropriate, preventive measurements are implemented to manage the side effects. 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. In 3 of 14 (21%) clinical records reviewed, the agency did not ensure that all medications were included on the medication profile. Clinical Record 1: The patient elected hospice care on 6/2/23. The plan of care dated 6/2/23 ordered Oxygen 2-5 Liters pro re nata (as needed) (prn). A review of the clinical record revealed no documentation of oxygen on the drug profile. Clinical Record 5: The patient elected hospice care on 6/22/23. The plan of care dated 6/22/23 ordered Oxygen 2 liters prn. A review of the clinical record revealed no documentation of oxygen on the drug profile. Clinical Record 8: The patient elected hospice care on 6/21/23. The plan of care dated 6/21/23 ordered Oxygen 3-6 Liters continuous. A review of the clinical record revealed no documentation of oxygen on the drug profile. During the clinical record review, the clinical manager stated that Oxygen should have been included on the drug profile.

It is required that the hospice plan of care identifies the care and services that are needed and specifies which provider is responsible for performing the functions that are agreed upon and included in the plan of care. This standard was not met as evidenced by clinical record review and interview. In 2 of 2 (100%) clinical records reviewed of patients that resided in a skilled nursing facility, the agency did not ensure that the hospice plan of care identified which provider was responsible for performing the functions that were agreed upon and included in the plan of care. Clinical Record 3: The patient elected hospice care on 1/11/23 and resided in a skilled nursing facility (SNF). The hospice plans of care dated 1/11/23, 4/7/23, and 6/25/23 did not contain documentation specifying which provider was responsible for performing the functions included in the plan of care. Clinical Record 13: The patient elected hospice care on 1/13/23 and resided in a SNF prior to revocation of the hospice benefit on 5/24/23. The hospice plans of care dated 1/13/23 and 4/10/23 did not contain documentation specifying which provider was responsible for performing the functions included in the plan of care. During an interview and the clinical records review, the clinical manager stated no documentation in the plan of care identified which provider was responsible for performing agreed upon functions.