Every finding on record at Dew Senior Health

Upon patient record review, 2 of 14 (Patient 3 & 4) 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 3 medication profile includes "Epogen injection solution 10,000/ml SC, inject 1ml SC one time every Tuesday, Thursday and Sunday" with unclear frequency. Patient 4 medication profile includes "Insulin Lispro 100u/ml SC inject 8 units SC before breakfast and 6 units before dinner" with unclear frequency

Upon patient record review, 2 of 14 (Patient 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 medications and treatments. Patient 3 plan of care includes "Epogen injection solution 10,000/ml SC, inject 1ml SC one time every Tuesday, Thursday and Sunday" with unclear frequency. Patient 4 plan of care includes "Insulin Lispro 100u/ml SC inject 8 units SC before breakfast and 6 units before dinner" with unclear frequency

Upon patient record review, 1 of `4 (Patient #3) 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 3 initial comprehensive assessment identifies hospital bed, bedside commode and shower chair in the home but is not included on the plan of care.