Every finding on record at Heartford Hospice Care, Inc.

Upon observation, there was no evidence of contracts/agreements with other facilities/agencies/hospices to receive patients in the event the hospice cannot provide care to their patients during an emergency.

Upon patient record review, 4 of 19 (Patient #3, 6, 10, 14) 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 3: The medication list indicates anti diarrheal 2mg po q 8 hours PRN diarrhea. This medication order is inaccurate as it lists neither the name brand nor the generic name of the drug being used. (corrected onsite) Patient 6: The medication list indicates mucus relief 600mg po daily PRN cough. This medication order is inaccurate as it lists neither the name brand nor the generic name of the drug being used. (corrected onsite) Patient 10: The medication list indicates advanced antacid 200-200-20mg/5mL 30mL po q 4 hours PRN dyspepsia. This medication order is inaccurate as it lists neither the name brand nor the generic name of the drug being used. (corrected onsite) Patient 14: The medication list indicates medicated relief 3.1-10-6% topical patch apply q 12 hours pain. This medication order is inaccurate as it lists neither the name brand nor the generic name of the drug being used. (corrected onsite)

Upon patient record review, 1 of 19 (Patient #2) did not have evidence that the plan of care includes all services necessary for the palliation and management of the terminal illness and related conditions which including interventions to manage pain and symptoms. Patient 2: On 09.16.2023, the hospice received two after hours phone calls from the patient's family related to ongoing diarrhea. On the second call, the family member noted concerns of the patient possibly becoming dehydrated and requested a nurse come to the home for further assessment and management of symptoms. There was no evidence of follow-up related to this call. It could not be determined if a PRN visit had been made, per the family's request, to assess the patient's status and provide interventions for the unresolved diarrhea.