Every finding on record at Hosparus, Inc

Observed in Individual Tracer. In 13 of 13 patient records reviewed, and on review of the hospice admission packet, it had been identified that the patients had not been given written information about the organization's advance directive policies. The patients had received information of the State of Indiana advance directive law. This was validated by Leadership. Observed in Individual Tracer. In 13 of 13 patient records reviewed, and on review of the hospice admission packet it had been found that the patients had not received, in writing, that the State hotline could be utilized if they had any concerns about the implementation of Advance Directives. This was validated with leadership.

Observed in Individual Tracer. In 2 of 3 home visits conducted, it was found that the medications had not been been reconciled and accurate. For example, for HV # 1 four medications were not accurate. Allopurinol 100mg was identified as take two times a day, however, the patient reported she was taking it PRN, Dicyclomine 10 mg 2 capsules was identified as as needed, however, the patient reported she was taking every night, Famotidine 20 mg 1 tablet was identified as needed , however, the patient reported she was taking every day, Ondansetron 4 mg 1 tablet was three times daily, however, the patient reported she had not been taking it for awhile. Also, Miconazole Nitrate 2 % was not found on the profile, however, the patient had been applying daily. For HV # 3 it was found that daughter was using the Ammonium Lactate 12% topical PRN, however, the medication profile was to use two times a day. Also, the Miconazole Nitrate 2 % was not on the medication profile. This was validated by the primary nurses and RN present at the visits.

Observed in Individual Tracer. In 2 of 12 patient records reviewed, , that had hospice aide services, it was found that the aides had provided care that had not been on the aides' care plan. For example , at HV # 2 it was found that the aide had been applying Miconazole Nitrate powder to the patient's groin area. The patient had aide services two times a week and the powder had been initiated May 2022.. On interview with the family HV # 3 they reported the aide was applying Miconazole Nitrate and barrier cream. The aide was providing services three times a week for the last 10 months. This was validated with the RN staff at the visits.

Observed in Individual Tracer. In 2 of 13 patient records reviewed, it was found that care had not been documented as having been provided. For example, it was found that the hospice aide had been applying Miconazole Nitrate to the patient's groin area HV # 2. The aide provided services two times a week, however on review of the aide visit notes there was no documentation of this care. For HV # 3 it had been found that the aide provided services three times a week and had been applying Barrier cream to the buttock area and Miconazole Nitrate, however, on review of the aide visits notes there was no documentation of this care. This was validated by staff and leadership

Observed in Individual Tracer. In 1 of 2 home visits conducted, of patients who had oxygen, it was found that at HV # 2 that the patient and family had not been educated concerning the oxygen tanks safe storage. It was observed that seven oxygen tanks were stored unsecure ( standing upright) in the patient's bedroom. This was validated by the HHA and RN.