Upon patient record review, 5 of 5 (Patient 1,2,3,4,5) did not have evidence that a review was completed of all prescription and non-prescription medications, including herbal remedies that could affect drug therapy. Patient #1,2,4,5: Plan of care orders for O2 at 2LPM if O2 sat is less than 94%, 3LPM if O2 sat is 92%, 4LPM if O2 sat is less than 90%, and 5LPM if O2 sat is less than 88%. Oxygen is not on the medication profile. Patient #3: Med profile with oxygen listed without a route.
Every finding on record at Good Shepherd Hospice Care, Inc
Tempe, Arizona · CCN 031792
2 findings across 1 survey, in the inspector's own words.
The inspector’s own words from form CMS-2567, unedited, including CMS’s own spacing. Names and some dates are redacted by CMS.
Survey of March 31, 2022
2 findingsUpon personnel record review, 4 of 12 (Personnel #2,3,4,7) did not have evidence a complete competency. Personnel #2: Initial LPN competency 10/15/20 was completed by the Administrator/LPN. Personnel #3: Initial RN competency 11/1/21 was completed by the Administrator/LPN. Personnel #4: Initial RN competency 10/15/20 was completed by the Administrator/LPN. Personnel #7: Initial bereavement competency 10/11/20 was a self-assessment only.
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Federal survey findings only. State licensure findings for hospices are not shown.
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