Every finding on record at Connect Hospice LLC

Upon patient record review, 2 of 6 (Patient #2,6) 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 #2: Medication profile dated 1/26/22 denotes Albuterol 0.083% via neb q 4 hours as needed. No evidence of as needed reason. Oxygen 2L/NC as needed also listed on medication profile. No evidence of as needed reason. Patient #6: Medication profile dated 5/9/21 list all medications with the frequency of OD. The following medications did not have a reason for as needed MS ER, Meclizine, IB/Albuterol, and Furosemide.

Upon patient record review, 2 of 6 (Patient #2, 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 medications and treatments. Patient #2: POC 1/26/22 dated denote Albuterol 0.083% via neb q 4 hours as needed. No evidence of as needed reason. Oxygen 2L/NC as needed also listed on POC. No evidence of as needed reason. Patient #6: POC dated 5/9/21 list all medications with the frequency of OD. The following medications did not have a reason for as needed MS ER, Meclizine, IB/Albuterol, and Furosemide.

Upon client record review, 1 of 6 (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: POC dated 1/30/22 for episode starting 1/31/22 included SN frequency of 2w1, 1w12, 1 prn, Visits documented as performed on 2/16/22, 2/18/22, 2/28/22, and 3/2/22. POC dated 1/30/22 for episode starting 1/31/22 included MSW frequency of 1xmo. No evidence of visit for January. POC dated 1/30/22 for episode starting 1/31/22 included SC frequency of 1xmo. No evidence of a visit in January.

Upon patient record review, 1 of 4 applicable (Patient #6) did not have evidence in the patient record that hospice aide assignments and duties are assigned to a specific patient by a registered nurse that is a member of the interdisciplinary group. Patient #6: Aide assignment care plan dated 5/9/21 assigned the bath to the aide. No evidence of clarification of what type of bath to be given and choices included tub, shower, bed (partial or complete).

Upon patient record review 1 of 4 applicable (Patient #6) 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 #6: Aide care plan dated 5/9/21 assigned the following tasks as every visit: Bath, shampoo hair, comb hair, mouth care, assist with dressing, perineal care, skin care, ambulation, walker assist, mobility assist, change bed linens, and straighten room. Aide visit on 5/14/21 documented the following tasks not performed bath, shampoo, walker assist, mobility assist, straighten room. No evidence of refusal or notification to Registered Nurse. Aide visit on 5/20/21 documented walker assist and straightening of room not performed. No refusal documented or notification to Registered Nurse. Aide visit on 5/25/21 documented the following tasks not performed bath, shampoo of hair, walker assist. No evidence of refusal or notification to Registered Nurse.