Every finding on record at Hospice of Texas, LLC

Upon patient record review, 1 of 14 (Patient # 4) did not evidence in the patient record that the hospice interdisciplinary group, in consultation with the individual's attending physician (if any), completed the comprehensive assessment no later than 5 calendar days after the election of hospice care. Patient #4- The patient was admitted 01/11/24. A Spiritual Assessment was not performed until 02/05/24.

Upon patient record review, 2 of 14 (Patient #4, #9) 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 #4-The medication profile includes a discrepancy in the number of tablets for administration of Sodium Bicarbonate. The profile includes Sodium Bicarbonate 650 mg tab 2 tabs tid. Also special instructions are added which include the patient is to take Sodium Bicarbonate 650 mg tab 1 tab tid. (corrected on site) Patient #9-The medication profile includes Benzonatate 100mg capsule 1 capsule three times daily as needed for antitussives. (Symptom for administration is not listed). (corrected on site)

Upon patient record review, 2 of 14 (Patient #4, #9) 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 specific orders for medications. Patient #4-The 01/11/24 plan of care includes a discrepancy in the number of tablets for administration of Sodium Bicarbonate. The plan of care includes Sodium Bicarbonate 650 mg tab 2 tabs tid. Also special instructions are added which include the patient is to take Sodium Bicarbonate 650 mg tab 1 tab tid. (corrected on site) Patient #9-The 12/28/23 plan of care includes Benzonatate 100mg capsule 1 capsule three times daily as needed for antitussives. (Symptom for administration is not listed.)(corrected on site)

Upon patient record review, 2 of 14 (Patient #7, #9) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #7-On 02/05/24 the Chaplain was ordered to visit monthly for one month. The Chaplain made 2 routine visits in February on 02/07/24 and 02/20/24. Patient #9-The Chaplain visited the patient on 02/09/24 and orders are not on record for a Chaplain visit. (corrected on site)