Every finding on record at One Good Hospice Inc

Upon patient record review, 1 of 14 (Patient #2) 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 Upon home visit review and caregiver interview the medications on the medication profile were not consistent with what the caregiver stated the patient was taking. The patient was taking all medications on medication profile, however; caregiver produced the following medications that were not on medication profile and the caregiver states the patient is currently taking these medications. Rosuvastatin 20mg daily, Calcium /Vitamin D twice daily, Melatonin 10mg at bedtime, Zyrtec 10mg daily as needed for allergy symptoms.

Upon patient record review, 1 of 14 (Patient #1) did not have evidence that each patient and family received education and training provided as appropriate to their responsibilities for the care and services identified in the plan of care. Patient #1 Order 2/19/25 for Anchored Foley Catheter Irrigation with complete instructions for the order, which stated, "may be done by skilled nurse or patient caregiver. Patient resides at private home with caregiver. No evidence of education/teaching to caregiver.

Upon patient record review, 1 of 14 (Patient #2) 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. Upon home visit review and caregiver interview the medications on the medication profile and the plan of care were not consistent with what the caregiver stated the patient was taking. The patient was taking all medications on plan of care, however; caregiver produced the following medications that were not on plan of care and the caregiver states the patient is currently taking these medications. Rosuvastatin 20mg daily, Calcium /Vitamin D twice daily, Melatonin 10mg at bedtime, Zyrtec 10mg daily as needed for allergy symptoms.

Upon Client record review 1 of 14 (patient #14) did not have evidence in the patient record that the hospice offered and/or provided spiritual counseling in accordance with the patient/family's desires which include: • Making all reasonable efforts to facilitate visits by local clergy, pastoral counselors Patient #14 Initial comprehensive nurse assessment documented patient is active in her faith and "Requests hospice to contact local clergy", documented patient declined hospice chaplain. There was no evidence in the record of this being done.

Upon personnel record review, 1 of 15 (Personnel # 6) did not have evidence in the personnel file that the following competency assessment was performed by the aide with a patient: (This standard applies to all Hospice Aides providing care/service who are directly employed by the hospice or through a contractual agreement.) ·Communication skills, including the ability to read, write, and verbally report clinical information to patients, caregivers, and other hospice staff. ·Reading and recording temperature, pulse, and respiration ·Safe transfer techniques and ambulation. ·Normal range of motion and positioning ·Appropriate and safe techniques in personal hygiene and grooming that include-- ·(B) Sponge bath ·(C) Shampoo, tub,sink and bed The other subject areas in this section may be evaluated through written examination, oral examination or after observation of a Hospice Aide with a patient. Personnel #6 Aide competency did not include a "Sponge bath" or shampoo in "tub,sink and bed" only a general "shampoo".

Upon client record review, 3 of 14 (Patient #12,13,14) did not have evidence that the discharge summary includes all required information. The discharge summaries contained a brief explanation of discharge. They did not include a complete summary of the stay including treatments, symptoms and pain management, patient's current plan of care, patient's latest physician order, and any other documentation that will assist in post-discharge continuity of care or that is requested by the attending physician or receiving facility