Every finding on record at Sama Hospice, Inc.

Upon patient record review, 1 of 14 (Patient #5) 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 5: Medication list: Patient with order for miconazole nitrate 2 percent topical tincture. Apply small amount to affected area twice daily for skin infection. There is no evidence of application site. Patient with order for semaglutide 1mg/0.75mL injection pen. Inject 1mg under skin weekly for diabetes. There is no evidence of correct route (subcutaneous). COS.

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 medications and treatments. Patient 5: Plan of care: Patient with order for miconazole nitrate 2 percent topical tincture. Apply small amount to affected area twice daily for skin infection. There is no evidence of application site in this order. Patient with order for semaglutide 1mg/0.75mL injection pen. Inject 1mg under skin weekly for diabetes. There is no evidence of correct route (subcutaneous) in this order. COS.