Every finding on record at Specialty Care Hospice, LLC

Upon observation, there was no evidence that during the initial assessment visit in advance of furnishing care, the hospice provided the patient and/or family with verbal (meaning spoken) and written notice of the Patient's Rights and Responsibilities in a language and manner that the patient understands. Patient#1: During home visit it was noted that patient primary language is Spanish as he was able to answer questions during visit. Per conversation with Administrator, written notice of the Patient's Rights and Responsibilities was not provided to patient. Corrected on site.

Upon patient record review, 2 of 6 (Patient #2,3) 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#2: The record indicates patient is ordered Voltaren pain external get 1% apply one inch gel external three times a day for arthritis. There is no evidence of a specified area of application on the medication profile. In addition, the record indicates patient has an order for oxygen. There is no evidence of oxygen listed on the medication profile. Corrected on site. Patient#3: The record indicates patient has an order for oxygen. There is no evidence of oxygen listed on the medication profile. Corrected on site.

Upon patient record review, 2 of 6 (Patient #2,#3) did not have evidence in the patient record that the hospice has developed an individualized written plan of care for each patient. The plan of care must reflect patient/family goals and interventions based on the problems identified in the initial, comprehensive, and updated comprehensive assessments. The plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions. Patient#2,#3: The record indicates the patient has an order for oxygen in the home. There is no evidence of goals or interventions related to oxygen. Corrected on site.

Upon patient record review, 2 of 6 (Patient #2) 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#2: The record indicates patient is ordered Voltaren pain external get 1% apply one inch gel external three times a day for arthritis. There is no evidence of a specified area of application. Corrected on site.

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 equipment and supply needs. Patient#1: During the home visit, it was observed that the patient has a hospital bed, side rails, bed side table, wheelchair. No equipment listed on the plan of care. Corrected on site.