Every finding on record at Health Corner Hospice

Upon patient record review, 2 of 14 (Patient #3,8) 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 3: The active medication profile has both Atorvastatin calcium and Lipitor (same drug one is generic and one is the brand name) listed. Both medications have the same dose, same frequency, and same route. Lipitor was ordered on 01/26/2025 and Atorvastatin calcium was ordered on 12/20/2024. Corrected on site. Patient 8: The active medication profile contains orders for 3 medication to be used PRN daily for constipation - Fleets enema, Bisacodyl, and Miralax. No evidence that instructions were given as to which medication should be given first in the event of constipation. Corrected on site.

Upon patient record review, 2 of 14 (Patient #3,8) 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 3: The medical record contains orders for both Atorvastatin calcium and Lipitor (same drug one is generic and one is the brand name). Both medications have the same dose, same frequency, and same route. Lipitor was ordered on 01/26/2025 and Atorvastatin calcium was ordered on 12/20/2024. Corrected on site. Patient 8: The medical record contains orders for 3 medication to be used PRN daily for constipation - Fleets enema, Bisacodyl, and Miralax. No evidence that instructions were given as to which medication should be given first in the event of constipation. Corrected on site.

Upon patient record review, 1 of 14 (Patient #6) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient 6 - The current plan of care has the RN visit frequency ordered as one visit each week. No evidence that the RN completed a visit for the week of 03/09/2025. No evidence that an order was obtained to not visit the patient that week or that the visit was missed at the request of the patient/caregiver.