Every finding on record at Verona Hospice, Inc.

Upon patient record review, 2 of 14 (Patients #9, 14) 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 #9: Has order for nebulizer on POC. There is not a nebulized medication listed on Medication profile. Patient #14: Had order for Atropine 1%, give 3 gtts for excessive secretions. The medication indicated to give Ophthalmic route not Sublingual route.

Upon patient record review, 1 of 14 (Patient #7) did not have evidence in the patient record that the comprehensive assessment includes a bereavement component which includes the needs of the patient's family and other individuals focusing on the social, spiritual, and cultural factors that may impact their ability to cope with the patient's death. Information gathered from the initial bereavement assessment is incorporated into the plan of care and is considered in the bereavement plan of care. Patient #7: Initial Bereavement Assessment was not assessed.

Upon patient record review, 1 of 14 (Patient #10) 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 #10: Patient has order for Albuterol Solution the Nebulizer Machine is not on POC.