Every finding on record at Shoreline Hospice Care LLC

Upon patient record review, 1 of 7 (Patient #6) 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 #6: On 12/23/24, per the admission assessment the patient was tapering Decadron dose and was currently tapering down at 6 mg for 7 days. There was no evidence of the taper on the medication profile. Additionally, on 12/31/24, the RN documented, "advised to place patient on 2L Oxygen." There was no evidence of oxygen on the medication profile.

Upon patient record review, 1 of 7 (Patient #3) did not have evidence in the patient record that hospice aide assignments and duties are: • 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 #3: The aide care plan with an effective date of 6-11-24 indicated a bed bath frequency of 4 x week and a shower w/chair frequency 1 x week. The aide frequency is 4 x week and the RN had the option to designate days, but did not do so.