| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.141(c)(4) | Individual #2's annual physical examination, completed on 3/25/2022, indicated that the individual's hearing was unable to be evaluated. As of 10/19/2022, no appointment had been made for the individual's hearing to be evaluated. | The physical examination shall include: Vision and hearing screening for individuals 18 years of age or older, as recommended by the physician. | Management contacted a hearing specialist to schedule an appointment. We were informed that she needed a referral. We contacted her PCP on 10/26/22 and requested a referral or documentation on the specifics of the reason she was unable to be evaluated. We spoke with the nurse from the PCP office who informed us that the doctor was out, but she will report the concern and contact us once she has further information and/or a referral appointment is made. The referral appointment is scheduled for 12/14/22 at 9am. |
10/28/2022
| Implemented |
| 6400.141(c)(14) | Individual #1's annual physical examination, completed on 3/29/2022, did not include medical information pertinent to diagnosis and treatment in case of an emergency. It was left blank. | The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. | Physical form was sent to the doctor and the medical information section of the form was completed on 10/19/22. |
10/26/2022
| Implemented |
| 6400.214(b) | During the inspection conducted on 10/19/2022, the most recent copy of individual #1's physical examination was not kept at the residential home. | The most current copies of record information required in § 6400.213(2)¿(14) shall be kept at the residential home.
| A copy of the physical was place in the individual's binder located at the home on 10/25/22. |
10/26/2022
| Implemented |