Deficiency Index

Every finding on record at Hospice of Pristine Care, Inc

Glendale, California · CCN D61540

1 finding across 1 survey, in the inspector's own words.

The inspector’s own words from form CMS-2567, unedited, including CMS’s own spacing. Names and some dates are redacted by CMS.

Survey of November 13, 2024

1 finding
L0530

Upon patient record review, 2 of 5 (Patient #1 and #2) 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 #1-Order on medication profile for Naproxen/Esomeprazole Magnesium 500mg-20mg delayed release tablet, take one tab po daily prn for heartburn did not match medication in home for Naproxen Sodium ER 500mg, take one tab po Q12 hours. #2-Order on medication profile for Vitamin D 1.25mg capsule, take one cap po weekly did not match medication in home for Vitamin D3 50mcg(2000u), take one tab po daily.

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