Every finding on record at Residential Hospice of Missouri, LLC

Upon patient record review, 1 of 12 (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: records indicate evidence of Verbal Physician Order for oxygen concentrator, 1-4L, PRN. No route documented on the medication profile. Agency corrected on site and has action plan in place to educate staff in submitting complete orders.

Upon patient record review, 1 of 12 (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 Patient #4: records indicate evidence of Verbal Physician Order for oxygen concentrator, 1-4L, PRN. No route documented on the order. Agency corrected on site and has action plan in place to educate staff in submitting complete orders.