Every finding on record at Oakstone Hospice LLC

Upon patient record review, 4 of 14 (Patient #1, #3, #4, #7) did not contain evidence 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 #1: Nystatin ointment did not indicate where to apply. Patient #3: Lidocaine Patch did not indicate where to apply. Carbidopa-Levodopa ordered on 11/28/25 reflected "Take 1 tab(s) orally every 6 hours [COMMENTS; TAKE ONE TABLET BY MOUNTH TWICE DAILY]" - Contradicting order. Zinc Oxide ordered on 11/28/25 and 12/10/25 did not indicate where to apply to - duplicate order. Carbidopa-Levodopa ordered on 12/3/25 reflected "take 1 tab(s) orally every 6 hours" - Duplicate order. Hycosamine ordered on 12/04/25 reflected "take 1 tab(s) sublingual PRN as needed" but did not contain a frequency for use. Lorazepam ordered on 12/04/25 reflected "administer 0.5mL oral PRN as needed" but did not contain a frequency for use. Patient #4: Diovan HCT ordered twice on 11/24/25 reflecting exact same orders. Patient #7: Clobetasol ointment reflected "applied topically 1 times a day, every morning" but did not indicate where to apply to.

Upon patient record review, 4 of 14 (Patient #1, #3, #4, #7) did not contain evidence that the plan of care included all services necessary for the palliation and management of the terminal illness and related conditions, including medications and treatments: Patient #1: Initial POC/updated POCs reflected; Nystatin ointment did not indicate where to apply. Patient #3: Initial POC/updated POCs reflected; Lidocaine Patch did not indicate where to apply. Carbidopa-Levodopa ordered on 11/28/25 reflected "Take 1 tab(s) orally every 6 hours [COMMENTS; TAKE ONE TABLET BY MOUNTH TWICE DAILY]" - contradicting order. Zinc Oxide ordered on 11/28/25 and 12/10/25 did not indicate where to apply to - duplicate order. Carbidopa-Levodopa ordered on 12/3/25 reflected "take 1 tab(s) orally every 6 hours" - duplicate order. Hycosamine ordered on 12/04/25 reflected "take 1 tab(s) sublingual PRN as needed" but did not contain a frequency for use. Lorazepam ordered on 12/04/25 reflected "administer 0.5mL oral PRN as needed" but did not contain a frequency for use. Patient #4: Initial POC/updated POCs reflected; Diovan HCT ordered twice on 11/24/25 reflecting exact same orders. Patient #7: Initial POC; Clobetasol ointment reflected "applied topically 1 times a day, every morning" but did not indicate where to apply to.