Every finding on record at Lumen Hospice Inc.

Upon patient record review 2 of 14 (Patient #10, 11) did not have evidence documentation in the patient record that a hospice aide provides services that are: • Ordered by the interdisciplinary group • Included in the plan of care Patient #10: Record included orders dated 6/2/23 for aide 2 x week. There was only evidence of 1 aide visit the week of 6/2/23. Patient #11: Record included orders dated 7/14/23 for aide 2 x week. There was no evidence of aide visits the week of 7/14/23.

Upon patient record review, 1 of 14 (Patient #14) did not have evidence that if a drug order is verbal or given via an electronic transmission, it is given to a Registered Nurse, Nurse Practitioner, pharmacist, physician or other licensed individuals as designated by state regulations. The person receiving the order records and signs it immediately and has the prescribing person sign it in accordance with state and federal regulations. Patient #14: The SN visit note dated 7/23/23 indicates that a verbal order was received from the physician to change lorazepam from 2mg/ml, 0.25ml every 6 hours to 0.25ml every 2 hours as need. There was no evidence this verbal order was transcribed onto an order and sent to the physician for signature.