Every finding on record at Bright Life Care Hospice LLC

Upon patient record review, 5 of 5 (Patient #1,2,3,4,5) did not have evidence that a review was completed of all prescription and non-prescription medications, including herbal remedies that could affect drug therapy. Patient #1,2,3,5: Plan of care orders include PRN oxygen orders. These are not included on the medication profile. Patient #4: PRN Oxygen on the med profile does not contain a route.

Upon patient record review, 1 of 5 (Patient #5) did not have evidence of an individualized plan of care which includes all identified problems. Patient #5: Patient admitted to hospice with ES cardiac disease. There is not evidence of care plan for cardiac issues.

Upon patient record review, 5 of 5 (Patient #1,2,3,4,5) did not include complete orders for all necessary meds/treatments. Patient #1,2,3,4,5: Plan of care with PRN oxygen orders. Orders do not include a route.

Upon personnel record review, 1 of 12 (Personnel #2) did not have evidence of a complete competency. Personnel #2: LPN skills competency 9/29/21 conducted by the Administrator/LPN.

Upon patient record review, 1 of 5 (Patient #1) did not have evidence all entries were complete. Patient #1: Copies of the patient consents/EOB and other caregiver signed paperwork were not in the patient record. The copies in the patient record were unsigned. Agency was able to retrieve copies of the signed paperwork from the patient's file at the group home where the patient resides and incorporated it into the chart.