Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00233505 Renewal 10/03/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.207(5)(III)On 10/04/2023 at approximately 12:45 PM, Individual #1's bed contained bedrails that restricted the movement or function of Individual #1's body. These bedrails were not prescribed by a health care practitioner.A mechanical restraint, defined as a device that restricts the movement or function of an individual or portion of an individual's body. A mechanical restraint includes a geriatric chair, a bedrail that restricts the movement or function of the individual, handcuffs, anklets, wristlets, camisole, helmet with fasteners, muffs and mitts with fasteners, restraint vest, waist strap, head strap, restraint board, restraining sheet, chest restraint and other similar devices. A mechanical restraint does not include the use of a seat belt during movement or transportation. A mechanical restraint does not include a device prescribed by a health care practitioner for the following use or event: Protection from injury during a seizure or other medical condition, if the individual can easily remove the device or if the device is removed by a staff person immediately upon the request or indication by the individual, and if the individual plan includes periodic relief of the device to allow freedom of movement.Bed rails removed 10/4/23. Order for hospital bed, no order for side rails. 10/04/2023 Implemented
SIN-00080962 Unannounced Monitoring 04/30/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.81(k)(2)Individual #2's mattress was directly on the bedroom floor.In bedrooms, each individual shall have the following: A clean, comfortable mattress and solid foundation. dFs Maintenance department constructed a frame so that a foundation (box spring) fits down into the frame yet keeps the box spring from setting directly on the floor. The mattress sets on the box springs. The individual has had success with this set up. 5/1/15 Pictures of the new set up have been e-mailed. 05/01/2015 Implemented
SIN-00213604 Renewal 10/18/2022 Compliant - Finalized
SIN-00196764 Renewal 11/30/2021 Compliant - Finalized
SIN-00141821 Renewal 09/12/2018 Compliant - Finalized
SIN-00085635 Renewal 09/18/2015 Compliant - Finalized