Every finding on record at Bonum Hospice Inc

Upon patient record review and home visits, 2 of 5 (Patient #1,2) 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 1: On 7/14/25 there is a medication listed on the medication profile for Budesonide-Formoterol Fumarate Inhalation Aerosol 160-4.5 MCG, the dosage states 26 puffs, this dosage is incorrect. In addition, upon home visit the patient had Ibuprofen 800mg in the home, this medication was not listed on the medication profile. Corrected on site. Patient 2: The home visit the patient stated they were taking Tadalafil 10mg and Omeprazole 20mg daily, these medications were not on the medication profile.

Upon patient record review, 2 of 5 (Patient #3,4) 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 equipment and supply needs. Patient 3: On the initial RN comprehensive assessment there is a walker documented, a walker is not listed on the plan of care. Patient 4: On the initial RN comprehensive assessment there is oxygen documented, the oxygen concentrator is not listed on the plan of care under DME.

Upon patient record review, 1 of 5 (Patient #5) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient 5: Pt. revoked on 6/1/25 and a discharge order for this date, there is a completed SN visit dated 6/11/25.

Upon patient record review, 1 of 5 (Patient #1) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Electronic signatures are acceptable as long the hospice is following appropriate safeguards to prevent unauthorized access to the patient records. Patient 1: On the SN visit completed on 7/21/25 there is documentation on the top of the page "SN visit 5/4/25". There are two different visit dates documented. On the medication profile list the SN signed off of the medication review on 04/30/25. This date is before the patient was admitted on 7/14/25. On the SN visit dated 8/4/25 there is a "Skilled Nursing Addendum page" it is dated 3/15/25. This date is before the patient was admitted to this hospice.