Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.141(c)(10) | Individual #1¿s annual physical dated 9/22/16 did not indicate whether or not they were free from communicable disease. | 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. | The physical dated 9/22/16 was corrected to address the free from communicable disease and the specific precautions to be taken to prevent spread of the disease to others. Physicals will be reviewed prior to filing to insure non of the sections were omitted,when there is an omission the physical will be returned to the physician to complete. |
12/06/2016
| Implemented |
6400.141(c)(15) | Individual #1¿s annual physical dated 9/22/16 did not indicate recommended diet or special diet instructions. | The physical examination shall include:Special instructions for the individual's diet. | Dietary needs were added to this individuals physical. The sections on the physical will be reviewed prior to filing to ensure nothing has been omitted or mistaken to avoid a non compliance. |
12/15/2016
| Implemented |
6400.161(e) | Individual #1¿s medication Eucerin was discontinued but the medication was still in the Individual¿s medication box. | Discontinued prescription medications shall be disposed of in a safe manner. | Eucerin is a non prescription over the counter lotion that was in the medication box as a reminder to staff to apply lotion to this individual. To not confuse the licensing representative although this was the best reminder for staff, this lotion or any other non prescription lotion in the future will not be in the medication box. |
12/06/2016
| Implemented |
6400.181(c) | Individual #1¿s annual assessment dated 7/23/16 does not indicate what instruments the assessment were based on. | The assessment shall be based on assessment instruments, interviews, progress notes and observations. | The form indicating that interviews, progress notes and observations were the instruments the assessment was based on, was placed with the assessment. The document listing the instruments of what the assessment was based on will be stapled to the assessment to avoid a non compliance. |
12/06/2016
| Implemented |
6400.181(e)(13)(iii) | Individual #1¿s annual assessment dated 7/23/16 does not indicate progress and growth in the area of Activities for Residential Living.
| The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Activities of residential living. | Progress and growth was added in the area of activities for residential living. To avoid this non compliance in the future the Progress and growth heading was added to the activities for residential living area. |
12/06/2016
| Implemented |