Every finding on record at Ha Decisions Hospice Inc

Upon patient record review, 3 of 14 (Patient #2, #4 and #8) 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 #2 medication profile included "Ca-Rezz Cream ointment topical as needed" with no frequency and no location identified. Patient #4 medication profile included "Nitrostat 0.4 mg 1 tab SL as needed for chest pain" with no frequency and no dosage limit identified. Patient #8 medication profile included "Ca-Rezz Cream ointment topical as needed" and "A&D rash cream ointment topical as needed" with no frequency and no location identified.

Upon patient record review, 3 of 14 (Patient #2, #4, and #8) 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 #2 plan of care included "Ca-Rezz Cream ointment topical as needed" with no frequency and no location identified. Patient #4 plan of care included "Nitrostat 0.4 mg 1 tab SL as needed for chest pain" with no frequency and no dosage limit identified. Patient #8 plan of care included "Ca-Rezz Cream ointment topical as needed" and "A&D rash cream ointment topical as needed" with no frequency and no location identified.