Every finding on record at Megal Hospice & Palliative Care, Inc

Upon patient record review, 1 of 14 (Patient 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 7 medication profile included "Artificial Tears 1%-0.3% ophthalmic solution 1 drop ophthalmic twice daily" with no specification of which eye or both eyes.

Upon patient record review, 1 of 14 (Patient 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 7 plan of care included "Artificial Tears 1%-0.3% ophthalmic solution 1 drop ophthalmic twice daily" with no specification of which eye or both eyes.

Upon patient record review 3 of 14 (Patient 4, 6 & 7) did not have evidence of documentation in the patient record that a hospice aide provides services that are: • Ordered by the interdisciplinary group • Included in the plan of care • Permitted to be performed under state law by such hospice aide • Consistent with the hospice aide training Patient 4 aide care plan notes hospice aide frequency ordered 2XW. Week of 12/24/23-12/30/23 only 1 visit made with no evidence of missed visit communication. Patient 6 aide care plan notes hospice aide frequency 2XW. Week of 12/17/23-12/23/23 only 1 visit made with no evidence of missed visit communication. Week of 12/24/23-12/30/23 only 1 visit made with no evidence of missed visit communication. Week of 12/31/23-01/06/24 no evidence of visits conducted in EMR or via paper. Patient 7 aide care plan notes hospice aide frequency 2XW. Week of 11/12/23-11/18/23 no evidence of visits conducted in EMR or via paper. Week of 11/26/23-12/02/23 “3” visits conducted with no updated order