Every finding on record at Yng Hospice Inc.

Upon patient record review 2 of 14 (Patient #2,#4) did not have evidence in the patient record that the hospice interdisciplinary group, in consultation with the individual's attending physician (if any), completed the comprehensive assessment no later than 5 calendar days after the election of hospice care. Patient 2:There is no evidence in the medical record that a psychosocial comprehensive was assessment completed within 5 days after election of hospice benefit. Patient 4:There is no evidence in the medical record that a spiritual care assessment was completed within 5 days after election of hospice benefit.

Upon patient record review, 3 of 14 (Patient #1,#2,#4) 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 1:The medication profile includes an entry for Tylenol 325 every 4 hours as need for pain and Tylenol 500 every 6 hours for pain. The entry does not include a maximum daily dose of acetaminophen. Patient 2 and 4:The plan of care includes an order for oxygen 2 liters per minute via nasal cannula as needed for shortness of breath. The medication profile does not include an entry for oxygen.

Upon patient record review, 1 of 14 (Patient #2) 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 2:Patient was admitted 5/11/24 and bereavement risk assessment in record is dated 9/19/24. No bereavement risk assessment completed within 5 days.