Every finding on record at Perennial Hospice Care LLC

Upon patient record review, 3 of 5 (Patient #1, #4, #5) 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 #1 Medication profile includes "Lantus 100u/ml injection, inject subcutaneously 40-50 units once daily". Dosage instructions unclear. #4 Medication profile includes: "Benadryl 10mg topical ointment, apply thin layer topically to affected area every 4 hours as needed" with no location specified and no indicator. "Acetaminophen 500mg oral tab 1 tab every 6 hours as needed for mild to moderate pain" with no daily dosage limit. "Norco 10-325 mg oral tab, 1 tab every 4-6 hours" with no daily dosage limit. "Voltaren cream, apply topically twice daily as needed for pain" with no location specified. #5 Medication profile includes: "Acetaminophen 500mg oral tab 1 tab every 6 hours as needed for mild pain" with no daily dosage limit. "Calmoseptine 0.44% ointment, apply thin layer topically to affected area once daily as needed" with no specified location and no indicator. "Docusate Sodium 50/5mg/ml oral tab, 10 ml two times daily". Medication order unclear (tabs vs ml).

Upon patient record review, 3 of 5 (Patient #1, #4, #5) 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. #1 plan of care includes "Lantus 100u/ml injection, inject subcutaneously 40-50 units once daily". Dosage instructions unclear. #4 plan of care includes: "Benadryl 10mg topical ointment, apply thin layer topically to affected area every 4 hours as needed" with no location specified and no indicator. "Acetaminophen 500mg oral tab 1 tab every 6 hours as needed for mild to moderate pain" with no daily dosage limit. "Norco 10-325 mg oral tab, 1 tab every 4-6 hours" with no daily dosage limit. "Voltaren cream, apply topically twice daily as needed for pain" with no dosage and no location specified. #5 plan of care includes: "Acetaminophen 500mg oral tab 1 tab every 6 hours as needed for mild pain" with no daily dosage limit. "Calmoseptine 0.44% ointment, apply thin layer topically to affected area once daily as needed" with no specified location and no indicator. "Docusate Sodium 50/5mg/ml oral tab, 10 ml two times daily". Medication order unclear (tabs vs ml).