Every finding on record at Lifestyle Hospice, Inc

Upon patient record review, 3 of 14 (Patient #4,5,7) 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 Patient 4: The RN documentation on 9/11/2025, 10/24/2025, and 11/07/2025 indicated that the patient was using oxygen at 2LNC. No evidence that oxygen was included on the current medication profile. New order for oxygen written and medication profile updated during survey. Patient 5: The RN documentation on 10/2/2025 indicated that the patient was using oxygen at 2LNC. No evidence that oxygen was included on the current medication profile. New order for oxygen written and medication profile updated during survey. Patient 7: The RN documentation on 10/09/2025 and 11/06/2025 indicated that the patient was using oxygen at 2LNC. No evidence that an order was received for oxygen. No evidence that oxygen was included on the current medication profile. New order for oxygen written and medication profile updated during survey.

Upon patient record review, 3 of 14 (Patient #4,5,7) 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 4: The RN documentation on 9/11/2025, 10/24/2025, and 11/07/2025 indicated that the patient was using oxygen at 2LNC. No evidence that an order was received for oxygen. New order for oxygen written to update during survey. Patient 5: The RN documentation on 10/2/2025 indicated that the patient was using oxygen at 2LNC. No evidence that an order was received for oxygen. New order for oxygen written to update during survey. Patient 7: The RN documentation on 10/09/2025 and 11/06/2025 indicated that the patient was using oxygen at 2LNC. No evidence that an order was received for oxygen. New order for oxygen written to update during survey.

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 equipment and supply needs. Patient #2: The record reflected that this patient had a wheelchair. This item was not included on the Plan of Care. Wheelchair added to POC during this survey. Corrected on Site.

Upon patient client record review, 5 of 5 (Patients #1, #2, #3, #4 and #5) did not have evidence that all entries appropriately authenticated by discipline. Patients #1, 2, 3, 4: The consent form did not have the credential "RN" following name of nurse. Patients #1, 3, 5: The medication teaching/instruction sheet had Tylenol ES listed/written in space provided for narcotic analgesic instead of the non-narcotic analgesic space provided.