Every finding on record at Tri-County Home Health and Hospice, LLC.

Based on policy review, medical record review, observation and interview, the agency failed to ensure medication profiles were accurately assessed and documented for 3 of 6 (Patient #1, #2, and #5) sampled patients with home visits. --- The findings included: 1. Review of the agencys policy titled, ";Medication Profile" revealed, ";...Patients receiving medications administered by the organization will have a current, accurate medication profile in the clinical record...the medication profiles will be updated for each change to reflect current medications, and new and/or discontinued medications. 2. Observations on 7/8/2024, during the home visit for Patient #1, revealed the following medications were not listed on the medication report provided by the hospice: Lantanoprost (used to treat glaucoma) eye drops- one drop in both eyes at bedtime, Pepcid (used to treat acid-reflux) 40 milligrams (mg) one time per day, and Metformin (used to treat diabetes) 850 mg one tablet three times per day. Further observation revealed the following medications listed on Patient #1's medication report that were not being taken by the patient and were not in the home: Alendronate (used to treat or prevent osteoporosis) 10 mg one tablet par day, Buspirone (used to treat anxiety) 10 mg tablet two times per day, Diphenoxylate- Atropine (used to treat diarrhea) 2.5 mg- 0.025 mg 2 tablets by mouth four time a day and Morphine Concentrate (used to control pain)100 mg/ 5 milliliters (ml) take 0.5 ml every 4 hours. In an interview on 7/8/2024 at 2:20 PM, Patient #1 stated she was taking the eye drops, Pepcid, and Metformin. Patient #1 further stated she was not taking the other medications listed on the profile identified above. 3. Observations on 7/8/2024, during the home visit for Patient #2, revealed the following medications were not listed on the medication report provided by the hospice: Gabapentin (used to treat seizures and pain) 100 mg by mouth two times a day and an additional Furosemide (used to remove fluid from the body) 20 mg tablet by mouth once a day as needed. Further observations revealed Pantoprazol (used to treat gastric reflux and a damaged esophagus) 40 mg two times a day intravenously was listed on the medication report provided by the hospice, but it was being given by mouth. In an interview on 7/8/2024 at 1:45 PM, Hospice Nurse #1 verified the medications were not on the medication report and Pantoprazole was not administered intravenously. 4. Observations on 7/9/2024, during the home visit for Patient #5, revealed the following medications listed on Patient #5's medication report that were not being taken by the patient and were not in the home: Aspirin 81 mg two tablets per day, Alprazolam (used for anxiety and panic disorder) 0.25 mg tablet one tablet every six hours as needed, Codeine 10 mg- Guaifenesin (combination of the two medications to treat cough) 100 mg/5 ml oral liquid take 2.5- 5 ml every 6 hours as needed, Meclizine (used to treat dizziness and motion sickness)25 mg one tablet three times per day, as needed, and Prochlorperazine Maleate (used to treat nausea and vomiting; or used to treat anxiety and schizophrenia) 10 mg tablet every six hours for pain, as needed. In an interview on 7/9/2024 at 9:03 AM, Hospice Nurse #2 stated Patient #5 was no longer taking the above medications and verified the medications were not in the home.