Every finding on record at Medvista Healthcare, Inc.

Upon patient record review, 1 of 14 (Patient #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 Patient 3: The medication list indicates Ambien 2.5mg 1 tab po HS; however, the physician's order for this medication indicates that it is for PRN use when the patient has insomnia. (corrected onsite)

Upon patient record review, 1 of 14 (Patient #6) did not have evidence in the patient record that the hospice has developed an individualized written plan of care for each patient. The plan of care must reflect patient/family goals and interventions based on the problems identified in the initial, comprehensive, and updated comprehensive assessments. The plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions. Patient 6: The MSW's comprehensive initial assessment on 07.05.2023 indicates the patient will receive ongoing visits 1 x monthly for psychosocial support; however, there was no evidence of an update to the plan of care for the MSW. (corrected onsite)

Upon observation, there was no evidence the hospice follows acceptable standards of practice to prevent the transmission of infections and communicable diseases, including standard precautions. Patient 3: The chaplain, during the home visit at the Skilled Nursing Facility, did not wash or sanitize his hands prior to visiting the patient as required by the hospice's hand hygiene policy.