Every finding on record at S & A Hospice Care Inc.

Upon patient home visit, 1 of 3 (Patient #5) medications on the medication profile are not consistent with the medications on the plan of care and what the patient/caregiver states they are taking. Patient 5: Acetaminophen 325mg every 6 hours as needed present in home and confirmed by the patient to be the dose taken. The medication profile reflects Acetaminophen 250mg every 6 hours as needed. Prescription bottle for Acetaminophen 500mg three times daily also present with patient confirming use. This, along with Omega Fish Oil and Vitamin D3 are not found on medication profile. Patient further states this is not a change and has been his "usual" regimen "for a while".

Upon patient client record review, 1 of 14 (Patient #4) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Electronic signatures are acceptable as long the hospice is following appropriate safeguards to prevent unauthorized access to the patient records. Patient 4: CHHA services discontinued with last visit 12/29/23. Supervisory visit completed 2/22/24 as if services ongoing documenting good care by the CHHA with pt/cg pleased.