Every finding on record at Medistar Hospice

Upon patient record review, 2 of 5 (Patient #1,3) 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#1-During home visit, it was noted that the following medications were in the home, but not included on the medication profile: Lasix 10mg 1 tab po 1xday (10/14/24), Meclizine 25 mg 1 tab po daily(10/14/24), Vitamin D2 1.25mg 1 cap po 1xweek(10/14/24). Patient reported he is currently taking these medications. Patient#3-During home visit, it was noted that the following medications were active on medication profile but not in the home: Amlodipine besylate 5mg po 1xday (11/1/24), Donepezil hydrochloride 5mg 1 tab po daily at bedtime(11/1/24), Esomeprazole magnesium 40mg DR one cap daily(11/1/24). Patient's granddaughter confirmed that these medications were discontinued. Additionally, patient had filled prescription for Magnesium oxide 400mg 1 tab po daily that is not on medication profile(10/18/24).

Upon patient record review, 2 of 5(Patient #1,3) 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#1-During home visit it was noted that the following medications were in the home, but not included on the plan of care: Lasix 1 tab po 1xday (10/14/24), Meclizine 25 mg 1 tab po daily(10/14/24), Vitamin D2 1.25mg 1 cap po 1xweek(10/14/24). Patient reported he is currently taking these medications. Patient#3-During home visit, it was noted that the following medications were active on plan of care but not in the home: Amlodipine besylate 5mg po 1xday (11/1/24), Donepezil hydrochloride 5mg 1 tab po daily at bedtime(11/1/24), Esomeprazole Magnesium 40mg DR capsules one cap daily(11/1/24). Patient's granddaughter confirmed that patient is not taking these medications and that these medications were discontinued. Additionally, patient had filled prescription for Magnesium oxide 400mg 1 tab po daily that is not on medication profile(10/18/24).

Upon patient record review, 1 of 5 (Patient #1) 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. #1-Patient is utilizing a walker in the home. The walker is not included on the plan of care.

Upon personnel record review, 1 of 10 (Personnel #8) did not have evidence that personnel credentialing activities are conducted to verify qualifications of all credentialed/licensed personnel in the positions they hold at the time of hire, at renewal or in accordance with specific state practice act requirements. Personnel#8-Copy of Medical Director license on file had expired in November 2024. Corrected on-site.