Every finding on record at Kfcm Ventures LLC

Upon patient record review, 1 of 7 (Patient #1) 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 Patient 1: The patient's oxygen did not appear on the medication list. (corrected onsite)

Upon patient record review, 6 of 7 (Patient #1, 2, 3, 4, 5, 6) did not have evidence in the patient record that hospice aide assignments and duties are: • Assigned to a specific patient by a registered nurse that is a member of the interdisciplinary group • Written patient care instructions for a hospice aide must be prepared by a Registered Nurse who is responsible for the supervision of a hospice aide as specified under paragraph (h) of 418.76 • There is evidence in the patient record that the plan of care; indicate what tasks are to be done by the Aide and the frequency of these tasks. The use of “PRN” or “per patient choice”, for any task, whether personal care or non-personal care tasks, are not acceptable Patient 1, 2, 3, 4, 5, 6: The hospice aide care plans did not specify the frequency of the tasks, such as bath, shampoo or brush the hair, brush the teeth, the aide is to perform. (corrected onsite for all active patients)

Upon patient client record review, 7 of 7 (Patient #1, 2, 3, 4, 5, 6, 7) did not have evidence that each patient record contains: • Signed election statement in accordance with 418.24 Patient 1, 2, 3, 4, 5, 6, 7: The hospice election statement does not include required information regarding Patient Notification of Hospice Non-Covered Items, Services, and Drugs, which was effective 10.01.2020, or the timeline to provide this information to the patient or family. Additionally, the election statement does not include notification of who the BFCC-QIO is, should the patient or family disagree with the Notification and like to request related immediate advocacy.