Every finding on record at Masonic Charity Foundation of New Jersey

It is required that when controlled medications are first ordered, a copy of the hospice’s written policies and procedures for the management and disposal of controlled medications is provided to the patient or family or patient’s legal representative(s). The IDG documents in the patient record that the policies and procedures for managing and disposing of controlled medications is provided and discussed. This standard was not met as evidenced by a clinical record review, document review, and interview. In 11 of 11 (100%) records reviewed the agency did not provide the policy on use and disposal of controlled substances at admission, or at the time the controlled medications were ordered. Agency policy PC.M70 (revised 5/2022) stated in part, "Upon admission and at the time when controlled substances are first ordered, the hospice nurse: provides a copy of the hospice's written policies and procedures on the management and disposal of controlled drugs to the patient or patient representative and family." Records 1-11: The agency documented that the disposal of medications was discussed in all records reviewed. The Clinical Director stated, in an interview, on 7/20/2022 that the agency does not give the patient or family the policy on management and disposal of controlled medication. In 11 of 11 (100%) records reviewed [Records 1-11] the agency did not provide the policy on use and disposal of controlled substances at admission or at the time that controlled medications were ordered. Agency policy PC.M70 (revised 5/2022) stated in part "Upon admission and at the time when controlled substances are first ordered, the hospice nurse: provides a copy of the hospice's written policies and procedures on the management and disposal of controlled drugs to the patient or patient representative and family." The agency documented that the disposal of medications was discussed in all records reviewed, but the Clinical Director stated in an interview on 7/20/2022 that the agency does not give the patient or family the policy on management and disposal of controlled medication.