Every finding on record at Solaris Hospice Az, Inc

Upon patient record review, 2 of 11 (Patient #4, 7) 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 4: The comprehensive initial assessment, dated 10.08.2021, indicates that the patient has an indwelling Foley catheter. There is no evidence of a complete treatment order for the Foley. A medication order is present on the medication list for a pharmacy compounded medication, which indicates the instructions for the Foley under other instructions of the compounded medication; however, a Foley catheter is not a compounded medication and should be entered as a treatment order rather than appearing on the medication list. (corrected on site) Patient 7: The comprehensive initial assessment, dated 10.26.2021, indicates that the patient has a wound requiring wound care - apply island dressing after cleaning the wound and apply silver ointment. There is no evidence of a complete treatment order for the wound care. A medication order is present on the medication list for a pharmacy compounded medication, which indicates the instructions for the wound care under other instructions of the compounded medication; however, wound care is not a compounded medication and should be entered as a treatment order rather than appearing on the medication list. (corrected on site)

Upon patient record review, 2 of 11 (Patient #1, 8) 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 equipment and supply needs. Patient 1: The comprehensive assessment, dated 05.10.2021 included documentation that the patient utilized a walker. The walker was not included on the plan of care. (corrected on site) Patient 8: The SN nurse note, dated 11.09.2021 included documentation that the patient utilized a walker. The walker was not included on the plan of care. (corrected on site)