Every finding on record at Blessed Care Hospice, Inc.

Upon patient record review, 1 of 14 (Patient #1) 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 1: The medication list indicates both Bengay and Salonpas with lidocaine 4%; however, the instructions for these do not include a site/location for the use of these topical medications. (corrected onsite)

Upon patient record review, 2 of 14 (Patient #1, 6) 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 1: The patient requires the use of oxygen for management of the terminal illness; however, this DME is not included on the patient's plan of care. (corrected onsite) Patient 6: The patient requires the use of a nebulizer for management of the terminal illness, as nebulized medications are ordered; however, this DME is not included on the patient's plan of care. (corrected onsite)

Upon client record review, 2 of 14 (Patient #6, 9) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient 6: Skilled nursing visits were ordered for 1 x weekly; however, there was no evidence of a skilled nurse visiting the patient on the week of 06.18.2023. Patient 9: Skilled nursing visits were ordered for 1 x weekly; however, there was no evidence of a skilled nurse visiting the patient on the weeks of 06.04.2023 or 06.18.2023.