Every finding on record at Mission Hospice & Palliative Care Inc

Upon review of personnel record 1 of 13 (#5) did not have a competency that included: •Appropriate and safe techniques in personal hygiene and grooming that include- •Sponge, tub, and shower bath •Shampoo, sink, tub, and bed Personnel #5 competency did not include Sponge bath or shampoo in sink and bed.

Upon patient record review, 4 of 5 (Patient #1,2,4,5) 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. Patient #1: Medication profile included Ger Kot 8.6 mg 1 tab @PM as needed for constipation. KCL 10 mEq cap daily. No evidence of routes denoted. Patient #2: Medication profile included Mematine HCL 28 mg 1 cap daily, Clonidine 0.2 mg q 8 hours as needed for HTN, Trazadone 100 mg 1 tab daily. Promethazine DM 6.25-15 mg 1 t. q 6 hours as needed for cough. Gabapentin 100 mg tid. No evidence of routes denoted for medications Patient #4: Medication profile included: Aspirin 81 mg 1 tab daily. No evidence of route for medication Patient #5: Medication profile included: Aspirin 81 mg 1 tab once a day, Lasix 40 mg 1 tab once a day, Atorvastatin Calc 80 mg 1 tablet once at hs, Carvedilol 3.125 mg 1 tab twice a day, Lisinopril 10 mg 1 tab once a day, Tylenol 50o mg 1 tab q 6 hrs prn pain. No evidence of routes denoted for medications.

Upon patient record review, 4 of 5 (Patient #1, 2, 4, 5) 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: Order dated 12/27/21 included Ger Kot 8.6 mg 1 tab @PM as needed for constipation. KCL 10 mEq cap daily. No evidence of routes denoted. Patient #2: Order dated 1/26/22 included Mematine HCL 28 mg 1 cap daily, Clonidine 0.2 mg q 8 hours as needed for HTN, Trazadone 100 mg 1 tab daily. Promethazine DM 6.25-15 mg 1 t. q 6 hours as needed for cough. Gabapentin 100 mg tid. No evidence of routes denoted for medications Patient #4: Order dated 12/15/21 included: Aspirin 81 mg 1 tab daily. No evidence of route for medication Patient #5: Order dated 12/8/21 included: Aspirin 81 mg 1 tab once a day, Lasix 40 mg 1 tab once a day, Atorvastatin Calc 80 mg 1 tablet once at hs, Carvedilol 3.125 mg 1 tab twice a day, Lisinopril 10 mg 1 tab once a day, Tylenol 50o mg 1 tab q 6 hrs prn pain. No evidence of routes denoted for medications.