| 6400.112(f) | The home opened in March 2022. Fire Drills were conducted on 4/11, 5/16, 6/21, 7/27 and 8/3. During all of these fire drills, alternate exit routes were not used. The front door was used for all of the completed fire drills. | Alternate exit routes shall be used during fire drills. | Create a list of hypothetical fire locations for each month which would block certain doors, creating the need to use alternate exits. Schedule was created on 9/13/2022 and staff responsible for conducting fire drills were trained on 9/20/2022 |
09/20/2022
| Implemented |
| 6400.144 | Individual #2 has standing orders from the Individual's Primary Care Physician for Ibuprofen 200mg, take 2 tablets by mouth every hours as needed for pain; Dayquil Cold and Flu, take 2 LiquiCaps by mouth with water every 4 hours as needed for nasal congestion, cough, sore throat, minor aches and pain, fever or headache; NyQuil Cold and Flu, take 2 LiquiCaps by mouth every 4 hours as needed for cough, sore throat, minor aches and Pains, fever, runny nose and sneezing and headache; Cough Drops with Menthol, dissolve one drop slowly in mouth every 2 hours as needed for cough or sore throat; and Diphenhydramine HCL 25mg take 1 tablet by mouth every 4 to 6 hours as needed for allergy symptoms (sneezing, runny nose, itchy and watery eyes, itchy throat. These medications are listed on the Medication Administration Records but are not available in the home. | Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided.
| Over the counter PRN orders for medications will not be entered onto the MAR until the need for the medication presents. Medication log was update for Individual #2. LPN was informed on 9/12/2022 of this new process. |
09/14/2022
| Implemented |
| 6400.186 | Individual #2's Individual Service Plan (ISP) is not being implemented. Individual #2's Annual Assessment states "the Individual would benefit from learning some money management skills." Individual #2's ISP states "Individual #2 wants to be as independent as possible. The Individual should learn skills to handle funds, at this time the individual relies on family for assistance." Individual #2 receives $10 weekly in spending money that is maintained on the Individual's person despite the Individuals lack of money management skills and the Individual's reliance on family for assistance with managing money. | The home shall implement the individual plan, including revisions. | Team meeting was held on 9/21/22 and Assessment and ISP were updated to reflect current skill level. |
09/22/2022
| Implemented |