Every finding on record at Melodia 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: Oxygen Concentrator listed in DME section of POC. There was no oxygen on medication profile. Corrected on Site.

Upon patient record review, 2 of 14 (Patients #3,4) did not have evidence in the patient record that the comprehensive assessment includes a bereavement component which includes the needs of the patient's family and other individuals focusing on the social, spiritual, and cultural factors that may impact their ability to cope with the patient's death. Information gathered from the initial bereavement assessment is incorporated into the plan of care and is considered in the bereavement plan of care. Patient #3: The SOC was 10/27/23. The Bereavement Risk Assessment was completed late (>5 days) on 11/7/23. Patient#4: The Bereavement Risk Assessment has not been assessed to date.

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: Oxygen Concentrator listed in DME section of POC. There was no order for oxygen. Corrected on Site.

Upon patient record review, 1 of 14 (Patient #2) did not have evidence the plan of care must include all services necessary for the palliation and Patient #2: This patient had a fall mat. This item was not listed on POC.

Upon personnel record review, 1 of 13 (Personnel #10 ) did not have evidence in the personnel file that the following competency assessment was observed as required. Personnel #10: Had verbalized validation only for competency skills as follows: ·Communication skills, including the ability to read, write, and verbally report clinical information to patients, caregivers, and other hospice staff. ·Reading and recording temperature, pulse, and respiration ·Safe transfer techniques and ambulation. ·Normal range of motion and positioning ·Appropriate and safe techniques in personal hygiene and grooming that include-- ·(A) Bed bath ·(B) Sponge, tub, and shower bath ·(C) Shampoo, sink, tub, and bed ·(D) Nail and skin care ·(E) Oral hygiene ·(F) Toileting and elimination.

Upon patient client record review, 2 of 14 (Patients #6,8) did not have evidence that each patient record contains: • Signed election statement in accordance with 418.24 Patient #6: The patient SOC was12/14/23. The EOB indicated SOC for 12/15/23. Patient #8: The patients name on Medicare document name does not match EOB name on form. The EOB has first and middle name listed and not last name.