Every finding on record at Hospice of Eden Inc

Upon observation, there was no evidence the Emergency Plan communication plan must includes a primary and alternate means for communicating with hospice's employees and Federal, state, tribal, regional, and local emergency management agencies. The plan included a primary means of telephone but no secondary means of communication was included in the plan.

Upon patient record review, 1 of 5 (Patient #3) 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. Patient #3: The medication profile included Lidocaine 5% external patch every 12 hours PRN to affected area without identifying the location for application.

Upon patient record review, 1 of 5 (Patient #3) 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 plan of care included Lidocaine 5% external patch every 12 hours PRN to affected area without identifying the location for application.

Upon patient record review, 2 of 5 (Patient #1, 2) 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 #1: The bereavement assessment and comprehensive assessment identified the patient's son J.W. as the patient representative. The IDG note dated 7/23/23 listed N.J. as the patient representative. Patient #2: The IDG note dated 7/23/23 in the narrative refers to the patient as Ms T. This patients initials are K.G.

Upon inpatient contract review, 1 of 4 (Silver Hills Health Care GIP) did not have evidence that the hospice patient's inpatient clinical record includes a record of all inpatient services furnished and events regarding care that occurred at the facility; that a copy of the discharge summary be provided to the hospice at the time of discharge; and that a copy of the inpatient clinical record is available to the hospice at the time of discharge.