| 6400.34(a) | Rights reviewed with Individual #1 on 12/21/21 were not a complete review of all rights as outlined in 6400.32. Rights missing are as follows: a, b, d, e, f, g, h, I, j, p, q, r, s, t, u and v. | The home shall inform and explain individual rights and the process to report a rights violation to the individual, and persons designated by the individual, upon admission to the home and annually thereafter. | IHRS had revamped all their individual rights forms. However, it is believed that an old form was used to complete the individual rights when client (HH) was admitted to IHRS. IHRS will review updated form with client (HH) that covers all rights as listed in the 6400 regulations. IHRS Program Specialists will be retrained in Individual Rights so that they may identify any discrepancies moving forward. |
| Implemented |
| 6400.169(a) | There was no documentation to support that Staff #1 had successfully completed a department approved medication administration course, including the course renewal requirements. Initial Medication Administration training date was 1/19/17. There was no documentation to support that any renewal requirements had been completed. | A staff person who has successfully completed a Department-approved medications administration course, including the course renewal requirements may administer medications, injections, procedures and treatments as specified in § 6400.162 (relating to medication administration). | The staff member identified in the review is currently being retrained under the new department approved medication administration training. Training is scheduled to be completed by the end of November 2022. |
12/09/2022
| Implemented |