Every finding on record at V.N.A. Corporation

Upon patient record review, 1 of 19 (Patient #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 #3: The medication profile indicated Polyethylene Glycol order with no diluent (ordered on 2/16/24), Corrected on Site

Upon patient record review, 2 of 19 (Patients #2,8) did not have evidence the plan of care must includes all services necessary for the palliation and management of the terminal illness and related conditions, including the following: • A detailed statement of the scope and frequency of services necessary to meet the specific patient and family needs • The IDG demonstrates a proactive approach in developing each patient's plan of care by planning ahead for anticipated patient changes and needs. Decisions should reflect the patient/family preferences rather than be solely a response to a crisis. Patient #2: MSW visit frequency indicated 3 PRN and SC visit frequency indicated 2 PRN. These frequencies did not include a baseline visit frequency. Patient #8: MSW visit frequency indicated 2 PRN (12/7/23). This frequency did not include a baseline visit frequency. Patient refusing services and new order in place to DC MSW services.

Upon patient record review, 1 of 19 (Patient #3) 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 #3: The POC/order (2/16/24) indicated Polyethylene Glycol order with no diluent. Corrected on Site

Upon patient record review, 4 of 19 (Patients #1,2,3,4) 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: This patient had a Rollator and Cane. These were not included on the Plan of Care. Patient #2: This patient had a Hillrom Ventilator, Nebulizer machine, cane and walker. These were not included on the Plan of Care. Patient #3: This patient had a Transport chair, O2 concentrator and SC. These were not included on the Plan of Care. Patient #4:This patient had a HB with bumper rails. These were not included on the Plan of Care.