Every finding on record at Ergo Hospice Inc.

Upon patient record review, 1 of 14 (Patient #3) 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: During the home visit, the patient was noted to have Seroquel 25mg tablets within the home, prescribed at once a day. Caregiver reported that the patient takes the medication daily. No evidence that Seroquel 25mg was placed on the current medication profile. Corrected during survey - New order received from MD for Seroquel and current medication profile updated.

Upon patient record review, 1 of 14 (Patient #2) did not have evidence in the patient record that the comprehensive assessment includes a bereavement component 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. Information gathered from the initial bereavement assessment is incorporated into the plan of care and is considered in the bereavement plan of care. Patient 2: Patient admitted on 05/19/2025. No evidence that a bereavement risk assessment was completed at the time of survey.

Upon patient record review, 1 of 14 (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 medications and treatments. Patient 3: During the home visit, the patient was noted to have Seroquel 25mg tablets prescribed at once a day. Caregiver reported that the patient takes the medication daily. No evidence that an for Seroquel 25mg was placed on the plan of care. Corrected during survey - New order received from MD for Seroquel and current medication profile updated.

Upon patient record review, 1 of 14 (Patient #2) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient 2: The plan of care has orders for SC visits to be completed once monthly. No evidence that the SC completed visits once a month for the months of September 2025 and October 2025.