Every finding on record at Godly Hospice and Palliative Care, LLC

It is required that the documented comprehensive assessment includes a drug profile that contains the patient's current: prescription and over-the-counter (OTC) drugs, supplements, herbal remedies; [and] other alternative treatments that could affect drug therapy. This standard was not met as evidenced by clinical record review and interview. In 2 of 14 (14%) clinical records reviewed, the agency did not ensure that the comprehensive assessment included a drug profile containing the patient's current medications. Clinical Record 1: The patient elected hospice care on 10/24/2024 with a diagnosis of chronic obstructive pulmonary disease (COPD). The initial plan of care dated 10/24/2024 and the recertification plan of care dated 12/21/2024 ordered oxygen 2-4 (L)/minute (min) per nasal cannula (NC) as needed/pro re nata (PRN). Oxygen was not documented on the medication profile. Clinical Record 5: The patient was admitted on 10/03/2024 with the diagnoses: hemiparesis and hemiplegia. The plans of care dated 10/03/2024 and 12/23/2024 ordered oxygen 2-4 liters (L)/minute (min) per nasal cannula (NC). Oxygen was not documented on the medication profile. The Administrator and Director of Clinical Services confirmed the findings in an interview on 01/16/2025