Every finding on record at Haven Hospice In, LLC

Upon patient record review, 2 of 11 (Patient #1, 9) 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 Patient 1: The patient's oxygen did not appear on the medication list. (corrected onsite) Patient 9: The patient's oxygen did not appear on the medication list.

Upon client record review, 2 of 11 (Patient #2 and #4) 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 narrative portion of the SN note dated 02.11.2022 indicates a wound was assessed and wound care initiated to the lower extremity including clean with warm soapy water, pat dry, apply Bacitracin and dry sterile dressing. The medication order for the Bacitracin order is entered and signed by the physician; however, there is no treatment order for the noted wound care entered or signed by the physician. Patient 4: The plan of care indicates the MSW is to visit the patient once monthly; however, there is no evidence of a home visit, missed visit, or other patient communication during the month of December 2021.

Upon observation and patient record review, there was no evidence the hospice investigates all adverse events, incidents, accidents, variances or unusual occurrences that involve patient care and develops a plan of correction to prevent the same or similar event from occurring again. Patient 4: The patient's record indicates the patient had a fall in the home on 12.12.2021. There is no evidence this adverse event was recorded or investigated for tracking/trending purposes so as to prevent similar future events.