Every finding on record at Nurturing Angels Hospice

Upon patient record review, 1 of 5 (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: Patient 3: The POC contains Simvastatin 80mg po daily, the medication profile does not contain Simvastatin. Corrected on site.

Upon patient client record review, 1 of 5 (Patient #4) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Electronic signatures are acceptable as long the hospice is following appropriate safeguards to prevent unauthorized access to the patient records. Patient 4: The comprehensive assessment upon admission 4-11-22 contains documentation of an Aide supervisory visit with the aide present. The aide did not make a visit until 4-13-22.