Every finding on record at Optimal Comfort Hospice, Inc.

Upon patient record review, 2 of 5 (Patient 2 and 4) 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 2 medication profile included "Miralax 17gm orally 2 times daily for BM greater than 3 days" with unclear instructions and no instructions for dissolving medication in liquids. Patient 4 medication profile included "Remedy skin repair topically after bath/shower for pruritis" with no frequency and no location identified.

Upon patient record review, 2 of 5 (Patient 2 and 4) 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 2 plan of care included "Miralax 17gm orally 2 times daily for BM greater than 3 days" with unclear instructions and no instructions for dissolving medication in liquids. Patient 4 plan of care included "Remedy skin repair topically after bath/shower for pruritis" with no frequency and no location identified.