Every finding on record at Pelican Hospice LLC

Upon patient record review, 2 of 5 (Patient #2,4) 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: There was evidence of an order for Miralax 1 capful BID. There are not directions to mix with diluent. Corrected on site. Patient #4: There was evidence of an order for "comfort kit for emergency use". There is no listing of medications in the emergency kit. Corrected on site.

Upon patient record review, 2 of 5 (Patient #2,3) did not have evidence in the patient record that the hospice has developed an individualized written plan of care for each patient. The plan of care must reflect patient/family goals and interventions based on the problems identified in the initial, comprehensive, and updated comprehensive assessments. The plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions. Patient #2,3: There is evidence of an order for Chaplain visit 1/month. There are no Problem/Intervention/Goal for spiritual needs on the plan of care.

Upon patient record review, 2 of 5 (Patient #2,4) 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: There was evidence of an order for Miralax 1 capful BID. There was not instructions to mix with diluent. Additionally, the plan of care includes to teach use of glucometer to PCG. There is no frequency order for BS checks. Both corrected on site Patient #4: There was evidence of an order for "comfort kit for emergency use". The medications in the emergency kit were not identified. Corrected on site.