Every finding on record at Hospice Care of Arizona LLC.

Upon patient record review, 2 of 7 (Patient ##2, #5) 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 Patient #2: Voltaren gel was transcribed on 1-16-22 without specifying where it was to be applied. COS Patient #5: Silver Sulfadiazene was transcribed on 12-17-21 and specified to apply to "affected areas". It was not clear what the affected area was. COS

Upon patient client record review, 3 of 7 (Patient #2, #3, #4) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Electronic signatures are acceptable as long the hospice is following appropriate safeguards to prevent unauthorized access to the patient records. Patient #2: The "yes" and "no" boxes were checked and initialed on the notification of non-covered items question. Patient #3: Reason patient unable to sign response was left blank and the non-covered items questions was left blank. Patient #4: Reason patient was unable to sign response was left blank. Additionally, check boxes for the attending MD were not filled out and the MD name was not listed.

Upon client record review, 1 of 4 applicable (Patient #5) did not have evidence that if a patient revokes the election of hospice care or is discharged from hospice in accordance with §418.26, the hospice must forward to the patient's attending physician: • A copy of the hospice discharge summary Patient #5: There was no summary of care on the discharge summary, only that the patient was admitted to the hospital.