Every finding on record at Nobel Hospice Care Inc.

Upon patient record review, 1 of 5 (Patient #1) 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 The medication profile included Tylenol 500 mg 2 tabs as needed for pain, but did not specify the frequency or the maximum allowable dosage.

Upon patient record review, 2 of 5 (Patient #1, 4) 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 #1, 4 the patient declined spiritual care services but the plan of care included interventions and goals for spiritual care.

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 medications and treatments. Patient #1 The plan of care included Tylenol 500 mg 2 tabs as needed for pain, but did not specify the frequency or the maximum allowable dosage.