Every finding on record at Purview Hospice and Palliative Care, 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:Polyethylene Glycol order with no diluent on medication profile ordered on 6/13/24.

Upon patient record review, 1 of 14 (Patient #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 equipment and supply needs. Patient #5: The record reflected this patient was on Duo-Neb Inhalation on (4/10/22). There was no nebulizer machine included on Plan of Care.

Upon patient record review 1 of 14 (Patient #9) did not have evidence documentation in the patient record that a hospice aide provides services that are: • Ordered by the interdisciplinary group • Included in the plan of care Patient #9: The POC listed Aide visit frequency of, 2 X's per week (9/15/22). There were no Aide visits the first benefit week.

Upon patient client record review, 3 of 14 (Patients #1,2,3) did not have evidence that each patient record contains: • Signed copies of the notice of patient rights in accordance with 418.52 • Signed election statement in accordance with 418.24 Patients #1,2,3: Did not have BFCC-QIO contact information on the Election of Benefit form.