Every finding on record at Town Square Hospice Ohio LLC

Observed in Record Review. In 3 of 10 patient records reviewed, The Surveyor noted incomplete medications orders or therapeutic duplication of medications without clear clinical indications for use. For example, In RRHV#1, the patient had Miralax 17 gram/dose and Senna-S 8.6 mg-50 mg both ordered every 12 hours as needed constipation. in RRHV#3 the patient had MOM 5ml and Fleets enema both ordered ‘every 24 hours as needed constipation’. In RRNHV#4, the patient had Triad Wound Dressing paste and Neomycin sulfate/Bacitracin zinc/Polymyxin both ordered to ‘apply topically to affected area qd.’ And then Milk of Magnesia 400 mg/5 and Miralax 17 gram both ordered to be given every 24 hours as needed. In RRNHV#5 the patient had hydrocortisone 2.5 % TOPICAL cream Apply to affected area (missing the location of application, and Ondansetron HCl 4 mg tablet give 1 tablet PO/PR. Missing the frequency of administration. This was validated with the Administrator/DPCS.