Every finding on record at Bellevue Hospice Care Inc

Upon patient record review, 1 of 5 (Patient #4) 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. Patient #4: On 9/30/21, the narrative, documented by the LVN, indicated the patient was taking Tramadol 50 mg, 1 tab every 6 hours. Tramadol was not on the medication profile.

Upon patient record review, 1 of 5 (Patient #4) 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 #4: On 9/30/21, the narrative, documented by the LVN, indicated the patient was taking Tramadol 50 mg, 1 tab every 6 hours. There is no evidence of an order for the Tramadol.

Upon contract review, 1 of 4 contracts reviewed (PhysiCali) did not have evidence the agreement to furnish any services included language that care provided would be authorized by the hospice and delivered in accordance with the patient's plan of care. Corrected on site.