Every finding on record at Elka Hospice Care

Upon patient record review, 5 of 14 (Patient #1, 4, 5, 6, 7) 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 #1: There was an order for Oxygen PRN. Oxygen was not included on the Medication Profile. Corrected on Site. Patient #4: There was an order for Oxygen PRN. Oxygen was not included on the Medication Profile. Corrected on Site. Patient #5: There was an order for Oxygen PRN. Oxygen was not included on the Medication Profile. Corrected on Site. Patient #6: There was an order for Oxygen PRN. Oxygen was not included on the Medication Profile. Corrected on Site. Patient #7: There was an order for Oxygen PRN. Oxygen was not included on the Medication Profile. Corrected on Site.

Upon patient record review, 2 of 14 (Patients #1, 2) 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:This patient had a walker, cane and shower chair. These items were not included on plan of care. Patient #2:This patient had a walker, cane and shower chair. These items were not included on plan of care. Corrected on Site.

Upon client record review, 1 of 14 (Patient #1) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient#1: The POC listed Skilled Nursing visit frequency of, 1 X per week. For Benefit Week 7/30/23 there were no visits made. The visit frequency was not met.

Upon personnel record review, 1 of 12 (Personnel #8) did not have evidence in the personnel file that the following competency assessment was performed by the aide with a patient: (This standard applies to all Hospice Aides providing care/service who are directly employed by the hospice or through a contractual agreement.) Personnel #8: Did not have observed or demonstrated validation for :Toileting and elimination (urinal and commode).

Upon patient client record review, 4 of 14 (Patients #3, 4, 5 and 8) did not have evidence that each patient record contains: • Signed election statement in accordance with 418.24 Patients #3, 4, 5 and 8: The Election of Benefit form did not have effective date filled in on the space provided on the form.