Gentiva

“Upon patient record review, 4 of 23 (Patient #4,11,13,15) 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 4: Upon home visit medication reconciliation the facility and hospice medication profiles did not match. The facility has medication profiles includes Fenofibrate 145mg one tablet daily. Hospice medication profile did not have that medication listed. Patient 11: The active medication profile has an entry for Cipro 500mg/5ml 2 times daily without a stop date. The medication was ordered on 04/27/2026 to be given for 7 days only. Patient 13: The active medication profile has duplicate medication orders for Carbidopa/levodopa ER. Both ordered for the same dosage and to be given the same amount of times a day. Patient 15: The plan of care has orders for Zithromax Z-pak 250mg tabs to be given per instructions. No evidence that those instructions contained for a stop date.”

“Upon patient record review, 1 of 23 (Patient #11) did not have evidence in the patient record that the hospice has developed an individualized written plan of care for each patient. The plan of care must reflect patient/family goals and interventions based on the problems identified in the initial, comprehensive, and updated comprehensive assessments. The plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions. Patient 11: The medical record indicated that the patient was admitted for Alzheimer’s, has an active wound, and uses oxygen PRN. No evidence that problems, goals, and interventions related to neurological deficits, altered skin integrity, or oxygen safety was included on the plan of care.”

“Upon patient record review, 3 of 23 (Patient #4,13,15) 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 4: During home visit medication reconciliation, the facility and hospice medication profiles did not match. The facility has medication orders that included Fenofibrate 145mg one tablet daily. Hospice plan of care did not have orders for that medication. Patient 13: The current plan of care duplicate medication orders for Carbidopa/levodopa ER. Both ordered for the same dosage and to be given the same amount of times a day. Patient 15: The plan of care has orders for Zithromax Z-pak 250mg tabs to be given per instructions. No evidence that those instructions contained for a stop date for the antibiotic.”

“Upon patient record review, 6 of 23 (Patient #3,4,7,8,10,13) 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 3: The medical record indicated that the patient uses a wheelchair daily due to altered mobility. No evidence that the current DME supply list included a wheelchair. Patient 4: The current supply list has wound care supplies listed. No evidence that the patient has active wounds. Patient 7: The medical record indicated that the patient was admitted with a wound. The wound was discontinued on 05/19/2026. No evidence that the current supply list was updated to remove wound care supplies from the supply list. Patient 8: The medical record indicated that the patient used a rollator due to altered mobility. No evidence that the current DME supply list included a rollator. Patient 10: The medical record indicated that patient used a Hoyer lift, walker, wheelchair, and a rollator due to altered mobility. No evidence that the current DME supply list included a rollator, walker, wheelchair, or Hoyer lift. Patient 13: The medical record indicated that the patient uses a PureWick catheter for urinary incontinence. No evidence that the current supply list included a PureWick catheter.”

“Upon patient record review, 5 of 23 (Patient #1,4,9,10,12) did not have evidence that a revised plan of care includes information from the patient’s updated comprehensive assessment and must note the patient’s progress towards outcome/goals from the plan of care. Patient 1: The medical record indicated that the patient had multiple wounds that were documented as healed. No evidence that the plan of care was updated to remove those active wound care orders. Patient 4: The current plan of care includes interventions for the nurse to obtain copies of the patients advanced directives, however, the document was received upon admission with paperwork but plan of care was not updated. Patient 9: The medical record indicated that the patient’s level of care at the admission was routine home care. The plan of care included level of care goals and interventions for continuous care. No evidence that the patient had received continuous care during the time on hospice. Patient 10: The plan of care has problems, goals, and interventions related to spiritual care and oxygen safety. The medical record indicated that the patient declined chaplain services on 05/15/2026 and has not active oxygen orders since admission. No evidence that plan of care was updated to remove problems, goals, and interventions related to spiritual care or oxygen safety. Patient 12: MSW documentation indicated that the family had requested help with VA benefits and finding sitter services. No evidence that the plan of care was updated to include care coordination problems, goals, and interventions.”

“Upon patient record review 1 of 23 (Patient #16) did not have evidence documentation in the patient record that a hospice aide provides services that are: • Ordered by the interdisciplinary group • Included in the plan of care • Permitted to be performed under state law by such hospice aide • Consistent with the hospice aide training Patient 16: The aide POC has visit frequencies ordered as 5 times a week. No evidence that the patient received 5 visits for the week of 05/25/2026. No evidence that the visit was missed at the request of the patient or the caregiver.”