Every finding on record at Burbank Hospice & Palliative Services, Inc.

Upon patient record review, 1 of 5 (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 profile indicates motion sickness 25mg 1 tablet po once daily PRN dizziness. The medication profile did not contain the actual name of the drug ordered by the physician, meclizine. (corrected onsite)

Upon client record review, 1 of 5 (Patient #2) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient 2: SN visits were ordered at a frequency of 2 x weekly during week 1, then 1 x weekly thereafter. There is no evidence of a SN visit, nor any notation of a missed visit, during the week of 10.16.2022.

Upon patient record review 1 of 5 (Patient #4) did not have evidence documentation in the patient record that a hospice aide provides services that are: • Ordered by the interdisciplinary group • Included in the plan of care Patient 4: The hospice aide care plan, dated 06.09.2022, instructs the hospice aide to report on nail hygiene at each visit. The hospice aide made visits on 06.10.2022, 06.17.2022, 06.24.2022, and 06.29.2022; however, there is no evidence of reporting regarding nail hygiene during any of these visits.