Every finding on record at Liberty Hospice Services Inc

Observed in Patient Home. In 3 of 3 home visits conducted, the organization did not screen, assess, reassess, and manage the patient's pain per its defined criteria. In HV#1, the skilled nurse did not assess the patient's pain and use of prn Ibuprofen per policy . Upon the surveyor's query, the patient indicated the Ibuprofen was taken at night for leg pain. In HV#2, the patient was experiencing back pain and had just taken prn Tylenol. The LVN did not assess the pain level/frequency, how often the patient was taking the Tylenol, and its effectiveness at managing the pain. In HV#3, the skilled nurse did not assess the severity/frequency of the patient's knee pain per policy, and the patient's continued use and effectiveness of the ordered prn Norco. This was reviewed and verified with the Administrator/Director of Patient Care Services-Designee.