Every finding on record at Integrity Hospice, Inc.

Upon patient record review, 1 of 5 (Patient #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: Patient #2: The medication profile contains an order for Remeron 15mg, 1 can by mouth daily. Corrected on site.

Upon patient record review, 1 of 5 (Patient #2) 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 #2: The plan of care contains an order for Remeron 15mg, 1 can by mouth daily. Corrected on site.

Upon patient client record review, 1 of 5 (Patient #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 #2: The medical record contains a Home Oxygen Safety checklist. All of the checklist items are marked NA. There is evidence on the plan of care that patient is on Oxygen 2 liters per nasal cannula prn and oxygen is listed in the DME and that the patient was on Oxygen at SOC. Corrected on site.