Every finding on record at Elite Hospice Services Inc

Upon patient record review, 2 of 5 records (Patient #2,#5) 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 #2: The medication profile contains Meloxicam with dose of 7-5mg instead of 7.5mg. Patient #5: The medication profile contains Senna syrup with no concentration listed for dose.

Upon patient medical record review, 2 of 5 records (Patient #2, #5) 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: The medical record contains order for Meloxicam with dose entered as 7-5mg instead of 7.5mg. The order was corrected on site. Patient #5: The medical record contained order for Senna Syrup 8.8mg with no evidence of concentration. The clinical record has evidence of foley catheter orders with no evidence of frequency of changes or balloon size. The physician order states may insert 14-18 Fr foley catheter and provide catheter care as needed for urinary problems. These orders were corrected on site.

Upon patient client record review, 5 of 5 records (Patient #1,#2,#3,#4,#5) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Patient #1,#2,#3,#4,#5: The medical record contains HIPPA consent on page 3/4 with the page header with evidence of Elite Hospice at top of page. but Amadeo Hospice is embedded with in the consent. In addition, the medical record indicates on the Comprehensive Assessment page 5, Endocrine/Hematology section. Who performs blood sugars the box indicates self. No evidence of patients being diabetic or orders for finger stick blood sugars.