Every finding on record at True Choice Hospice Inc.

Upon patient record review, 5 of 5 (Patient #1,#2,#3,#4,#5) did not have evidence in the patient record that the comprehensive assessment takes into consideration the imminence of death. Patients 1,2,3,4,5: The medical record does not contain evidence that imminence of death was assessed during the comprehensive assessment.

Upon patient record review, 2 of 5 (Patient #1,#2) 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: Patient 1: Home visit finding: the pt is taking Tylenol 500mg tabs the medication profile has 325mg tabs. The Rx was filled in October. Corrected on site. Patient 2: Home visit finding: the pt is taking meclizine prn and tylenol #3 for pain prn and these medications are not on the medication profile. The Rx was filled in October. Corrected on site.

Upon patient record review, 2 of 5 (Patient #1,#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 1: Home visit finding: the pt is taking Tylenol 500mg tabs the POC has 325mg tabs. The Rx was filled in October. Corrected on site. Patient 2: Home visit finding the pt is taking meclizine prn and tylenol #3 for pain prn and these medications are not on the POC. The Rx was filled in October. Corrected on site.

Upon client record review, 2 of 5 (Patient #4,#5) did not have evidence that the discharge summary includes all required information Patients 4 & 5: The discharge summary does not contain the patient's current POC, the patient's latest physician orders or any other documentation that will assist in post-discharge continuity of care or that is requested by the attending physician or receiving facility