Every finding on record at Curo Health Services, LLC

Upon patient record review, 3 of 11 records (Patient #1,#4,#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. Patient #1: The record indicated Debrox, instill 5 drops twice daily in left ear for cerumen impaction, ordered 8/10/21. This medication remained on the medication profile as of survey. In addition, the medication profile contained Lidocaine pain relief 4% topical patch, 1 adhesive patch as needed daily . Reason was listed for bone pain shoulders. There was not evidence of a location to place the patch. Both corrected on site. Patient #4: The medication profile contained, Polyethylene Glycol 17Gm oral powder daily as needed for constipation. There was not evidence of a diluent. Corrected on site Patient #6: The medication profile contained Saline wound wash - use to clean around trach daily. The record indicated that the trach was removed on 1/5/22. Corrected on site.

Upon patient record review, 1 of 11 records (Patient #2) did not have evidence in the patient record that the comprehensive assessment includes a bereavement component (done within 5 days) which includes the needs of the patient's family and other individuals focusing on the social, spiritual, and cultural factors that may impact their ability to cope with the patient's death. Patient #2: The patient was admitted on 7/29/21. The record indicated that the bereavement assessment was completed on 8/19/21.

Upon patient record review, 2 of 11 records (Patient #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: The record contained an order for Lidocaine pain relief 4% topical patch, 1 adhesive patch as needed daily. Reason was listed for bone pain shoulders. There was not evidence of a location to place the patch. Corrected on site. Patient #4: The record contained an order for Polyethylene Glycol 17Gm oral powder daily as needed for constipation. There was not evidence of a diluent. Corrected on site.

Upon patient record review, 1 of 10 applicable (Patient #2) did not have evidence in the patient record that hospice aide assignments and duties are: Patient #2: The record indicated that the patient had a Foley catheter which was removed/discontinued on 12/27/21. On visits 12/27/21-1/23/22 , the aide documented that the Foley bag was emptied and external catheter care was provided. The aide assignment was not updated to reflect the change in catheter type and the associated care.