Every finding on record at Remedy Hospice Care Inc

Upon patient record review, 3 of 14 (Patient 1,7,10) 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 #1 Medication profile listed Lidocaine 5% patch do not indicated a location to apply the medicated patch. corrected on site Patient #7 Medication profile listed Hydrocortisone Cream to be applied BID does not indicated a location to apply the medication. corrected on site Patient #10 Medication profile listed Nystatin Cream and powder do not indicate a location to apply the medication. corrected on site

Upon patient record review, 4 of 14 (Patient #1,2,7,10) 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 #1 Order dated 10/22/24 for Lidocaine 5% patch do not indicated a location to apply the medicated patch. corrected on site Patient #2 12/30/24 wound care orders do not indicate the location of the wound. 12/30/24. corrected on site Patient #7 Order dated 11/20/24 for Hydrocortisone Cream to be applied BID does not indicated a location to apply the medication. corrected on site Patient #10 Orders dated 9/24/24 for Nystatin Cream and powder do not indicate a location to apply the medication. corrected on site

Upon patient record review, 3 of 14 (Patient #8,9,10) did not have evidence in the patient record that hospice aide assignments and duties are: • Assigned to a specific patient by a registered nurse that is a member of the interdisciplinary group • 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 • There is evidence in the patient record that the plan of care; indicate what tasks are to be done by the Aide and the frequency of these tasks. The use of “PRN” or “per patient choice”, for any task, whether personal care or non-personal care tasks, are not acceptable Patient #8 Aide care plan dated 12/8/24 has foley checked but there are no interventions in place for foley care and there is no frequency for the task of dressing. corrected on site Patient #9 Aide care plan 12/24/23 marked two different dressing directions: -dress the patient in street clothes -dress the patient in pajamas. These are not specific tasks for the aide and allow for the aide to make a choice. corrected on site Patient #9 &10 Current aide care plan does not indicate a frequency for the dressing task. corrected on site