Every finding on record at Ricelands Home Health Care and Hospice LLC

Upon patient record review and direct observation during the home visit, 2 of 6 (Patient #1, 2) 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 Patient 1, 2: The patient's oxygen was not indicated on the medication list. (corrected onsite)

Upon patient record review, 1 of 6 (Patient #1) 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: A supplemental treatment order dated 02.01.2023 indicates continuous oxygen 2L per nasal canula PRN to keep sats above 90%. This is an inaccurate order as the oxygen cannot be indicated for both continuous and PRN use. The RN case manager verified that the oxygen is being used on a PRN basis, and the order was clarified. (corrected onsite)

Upon patient client record review, 1 of 6 (Patient #1) did not have evidence that each patient record contains: • Signed election statement in accordance with 418.24 Patient 1: The family/caregiver requested the Notification of Noncovered Services at the time of hospice admission; however, this document was not returned within the 5 days allowed.