Every finding on record at People's Choice Hospice Inc

Upon patient record review, 1 of 14 (Patient #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 #4-Orders dated 4/23/25 for Lidocaine 4% patch to be applied, no evidence of location specified on the medication profile. Corrected on Site.

Upon patient record review, 1 of 14 (Patient #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 #4-Orders dated 4/23/25 for Lidocaine 4% patch to be applied, no evidence of location specified in the order on the plan of care. Corrected on Site.

Upon patient record review, 1 of 14 (Patient #12) did not have evidence that the IDG in collaboration with the attending physician reviewed, revised and documents the individualized plan as frequently as the patient's condition requires but no less frequently then every 15 calendar days. Patient #12-Patient passed away 1/19/25, the last IDG completed for the patient was 1/3/25, no evidence of IDG completed following the death.

Upon patient record review, 1 of 14 (Patient #3) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #3-Orders dated for 3/22/25 for wound care and "re-evaluate wound in 2 weeks", there is no evidence this was completed or wounds listed on the plan of care on 4/5/25. Corrected on Site.

Upon patient record review, 1 of 14 (Patient #6) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Electronic signatures are acceptable as long the hospice is following appropriate safeguards to prevent unauthorized access to the patient records. Patient #6-RN completed supervisory visits for an LPN on 4/7/25, 4/17/25 and 4/24/25, no evidence of LVN visits ordered or completed with the patient.

Upon observation, there was no evidence that during the initial assessment visit in advance of furnishing care, the hospice provided the patient and/or family with verbal (meaning spoken) and written notice of the Patient's Rights and Responsibilities in a language and manner that the patient understands. During home visit #3, it was observed that the patients' primary language was Armanian. The patient or his wife spoke or read very little English - there was no written notice of the Patient's Rights and Responsibilities in a language and manner that the patient understood.

Upon patient record review, 1 of 2 applicable patients (Patient #4) did not have evidence in the patient record that hospice aide assignments and duties are: • Written patient care instructions for a hospice aide must be prepared by a Registered Nurse who is responsible for the supervision of a hospice aide as specified under paragraph (h) of 418.76 Patient #4 - Aide POC contained "mouth care as instructed per POC - did not include instructions.