Every finding on record at Eternal Love Hospice

Upon patient record review, 1 of 14 (Patient #10) 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 10: Plan of care contained a treatment order for oxygen 2LNC PRN for shortness of breath. No evidence that order was placed on the active medication list. Corrected on site, active medication list updated during survey.

Upon patient record review, 5 of 14 (Patient #2,3,4,6,8) did not have evidence the plan of care must includes all services necessary for the palliation and management of the terminal illness and related conditions, including the following: • A detailed statement of the scope and frequency of services necessary to meet the specific patient and family needs • The IDG demonstrates a proactive approach in developing each patient's plan of care by planning ahead for anticipated patient changes and needs. Decisions should reflect the patient/family preferences rather than be solely a response to a crisis. Patient 2, 3, 4, 6, 8: The plan of care has volunteer visits ordered as needed for support. No evidence that a routine visit frequency or a PRN frequency was listed for those visits. Corrected on site. New orders written to add routine visit frequency and the amount of PRN visits available.

Upon patient record review 1 of 14 (Patient #10) did not have evidence that the hospice has offered and/or provided spiritual counseling in accordance with the patient/family's desires which include: Patient 10: The initial chaplain visit performed on 12/06/2024 indicated that the patient was requesting monthly visits from the chaplain. No evidence that the chaplain performed monthly visits or that any additional visits were scheduled by the spiritual care provider. No evidence that this was done at the request of the patient or caregiver.