Every finding on record at Ozone Group, Inc

Upon patient record review, 1 of 14 (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: • Effectiveness of drug therapy • Drug side effects • Actual or potential drug interactions • Duplicate drug therapy • Drug therapy currently associated with laboratory monitoring Patient #3: During medication reconciliation on home visit the patient had Docusate Sodium 100 mg in the home. The medication list listed Stool Softener 100mg on hospice medication list. There is a communication note that these are the same meds. However, there is no clarification order from Attending Physician.

Upon patient record review, 1 of 14 (Patient #3) 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 #3: During medication reconciliation on home visit the patient had Docusate Sodium 100 mg in the home. The agency listed this med as Stool Softener 100 mg on hospice plan of care. There is a communication note that these are the same meds. However, there is no clarification order from Attending Physician.

Upon patient record review, 1 of 14 (Patient #14) did not have evidence the hospice offers bereavement counseling that includes: • Making bereavement services available to the family and other individuals in the bereavement plan of care up to 1 year following the death of the patient. Bereavement counseling also extends to residents of a SNF/NF or ICF/IID when appropriate and identified in the bereavement plan of care • Ensuring that bereavement services reflect the needs of the bereaved • Development of a bereavement plan of care that notes the kind of bereavement services to be offered and the frequency of service delivery Patient #14: The bereavement plan of care did not include frequency of service delivery.

Upon patient record review, 3 of 14 (Patients #11,12,13) did not have evidence that the discharge summary includes all required information. Patients #11,12,13: The discharge summaries for these patients did not include the patient's current plan of care.