| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.141(c)(4) | Individual #1's physical examinations completed on 10/26/21 and 3/29/22, prior to their date of admission on 6/21/22 do not address hearing screenings or related recommendations by the physician. Their record is also absent of any separate audiology appointments. | The physical examination shall include: Vision and hearing screening for individuals 18 years of age or older, as recommended by the physician. | Individual #1 moved into the facility June 21, 2022. Since arriving appointments have been made for him, to include an appointment with his new PCP, scheduled for 8/31/2022. He is also on the cancellation list with the PCP to attempt to get an appointment sooner if someone else would cancel. At that appointment he will have a new General Medical Information form (physical examination form for the individuals) completed to address a hearing screening. If the PCP feels that additional screening by a specialist is needed a separate appointment will be made upon recommendation. Documentation will be sent once completed on 8/31/2022. |
08/31/2022
| Implemented |
| 6400.141(c)(10) | Individual #1's physical examinations completed on 10/26/21 and 3/29/22, prior to their date of admission on 6/21/22, do not address specific precautions that must be taken if the individual has a communicable disease, to prevent spread of the disease to other individuals. | The physical examination shall include: Specific precautions that must be taken if the individual has a communicable disease, to prevent spread of the disease to other individuals. | Individual #1 moved into the facility June 21, 2022. Since arriving appointments have been made for him, to include an appointment with his new PCP, scheduled for 8/31/2022. He is also on the cancellation list with the PCP to attempt to get an appointment sooner if someone else would cancel. At that appointment he will have a new General Medical Information form completed to address specific precautions that must be taken if the individual has a communicable disease, to prevent spread of the disease to other individuals. Documentation will be sent once completed on 8/31/2022. |
08/31/2022
| Implemented |
| 6400.141(c)(11) | Individual #1's physical examinations completed on 10/26/21 and 3/29/22, prior to their date of admission on 6/21/22, do not include an assessment of the individual's health maintenance needs, medication regimen and the need for blood work at recommended intervals. | The physical examination shall include: An assessment of the individual's health maintenance needs, medication regimen and the need for blood work at recommended intervals. | Individual #1 moved into the facility June 21, 2022. Since arriving appointments have been made for him, to include an appointment with his new PCP, scheduled for 8/31/2022. He is also on the cancellation list with the PCP to attempt to get an appointment sooner if someone else would cancel. At that appointment he will have a new General Medical Information form (physical examination form for the individuals) completed to address an assessment of the individual's health maintenance needs, medication regimen and the need for blood work at recommended intervals. Documentation will be sent once completed on 8/31/2022. |
08/31/2022
| Implemented |
| 6400.141(c)(12) | Individual #1's physical examinations completed on 10/26/21 and 3/29/22, prior to their date of admission on 6/21/22, do not address physical limitations of the individual. | The physical examination shall include: Physical limitations of the individual. | Individual #1 moved into the facility June 21, 2022. Since arriving appointments have been made for him, to include an appointment with his new PCP, scheduled for 8/31/2022. He is also on the cancellation list with the PCP to attempt to get an appointment sooner if someone else would cancel. At that appointment he will have a new General Medical Information form (physical examination form for the individuals) completed to address physical limitations of the individual. Documentation will be sent once completed on 8/31/2022. |
08/31/2022
| Implemented |
| 6400.141(c)(14) | Individual #1's physical examinations completed on 10/26/21 and 3/29/22, prior to their date of admission on 6/21/22, do not address medical information pertinent to diagnosis and treatment in case of an emergency. | The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. | Individual #1 moved into the facility June 21, 2022. Since arriving appointments have been made for him, to include an appointment with his new PCP, scheduled for 8/31/2022. He is also on the cancellation list with the PCP to attempt to get an appointment sooner if someone else would cancel. At that appointment he will have a new General Medical Information form (physical examination form for the individuals) completed to address medical information pertinent to diagnosis and treatment in case of emergency. Documentation will be sent once completed on 8/31/2022. |
08/31/2022
| Implemented |