Every finding on record at Care Plus Hospice Care LLC

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 Patient 1: Per the medication profile, patient has acetaminophen suppository, atropine 1% solution, morphine concentrate, ondansetron but does not have the medications in the home.

Upon patient record review, 2 of 14 (Patients #1, #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 1: Patient has charted oxygen use in aide care plan also listed in use on nurse recert visit at 3 liters as well as listed in aide care plan at 4 liters via nasal cannula however, no evidence of order. corrected on site Patient 4: No oxygen orders despite nurse identifying oxygen in place at 2 liters in admission visit. corrected on site

Upon patient record review, 4 of 14 (Patients #1, #2, #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 1: bed, walker, shower chair in aide plan of care, o2 at 4 liters in aide plan of care missing orders for for equipment listed-corrected on site Patient 2: air mattress, Geri chair, fall mat listed as needs for management of patient care upon admission, no orders found for equipment listed-corrected on site Patient 3: bed, table, wheel chair, shower chair, urinal are listed in admission visit as needs to care for patient, no orders found for equipment listed-corrected on site Patient 4: air mattress, bed, wheel chair, shower chair, O2 @ 2 liters are listed as needs to care for patient, no orders found for equipment listed-corrected on site

Upon personnel record review, 3 of 11 (Personnel #9,10,11) did not have evidence of criminal background checks being obtained in accordance with state requirements. In the absence of state requirements, criminal background checks are obtained within three months of the date of employment for all states that the individual has lived or worked in the past 3 years. Personnel #9, #10, #11 had no proof of criminal background or sex offender checks that could be found.