Every finding on record at Odyssey Healthcare Operating B, LP

Upon patient record review, 1 of 19 (Patient #10) 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 10: Polyethylene Glycol 3350 17 Gram powder one pack daily for constipation. No evidence that a diluent was listed or instructions given on how to dilute powder. Corrected on site.

Upon patient record review, 1 of 19 (Patient #7) did not have evidence that a Registered Nurse is designated to ensure continuous assessment of the patient and family's needs and to coordinate activities with other members of the interdisciplinary group (IDG). The IDG must work together and is responsible for supervision of the care and service for each patient and family. Patient 7: No evidence that wounds were being measured weekly, which is company policy. Wound was not measure for the week of 09/03, 09/24, 10/01, and 10/15.

Upon client record review, 1 of 19 (Patient #12) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient 12: No evidence that volunteer tuck-in calls for September were completed. Plan of care has volunteer visits scheduled at 2 tuck-in calls a month.

Upon client record review, 1 of 19 (Patient #14) did not have evidence that a written hospice plan of care is established and maintained in consultation with SNF/NF or ICF/IID representatives. All hospice care provided is in accordance with this hospice plan of care. Patient 14: No evidence that volunteer tuck-in calls for September were completed. No evidence that 2 tuck-in calls were completed for July, one missed visit note entered for the month. Plan of care has volunteer visits scheduled at 2 tuck-in calls a month.