| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.71 | Emergency numbers were not posted by the telephone in individual#2's bedroom. | Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be on or by each telephone in the home with an outside line.
| Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center was placed near the outside line was placed on 2/8/2021. |
05/31/2021
| Implemented |
| 6400.80(a) | Back door exit was not clear from snow/ice, as you step out of door there was ice immediately outside the entrance. | Outside walkways shall be free from ice, snow, obstructions and other hazards. | Shovels supplied to Residential Managers to confirm all exits are cleared during the snow season, was supplied on 2/9/2021. |
05/31/2021
| Implemented |
| 6400.166(a)(13) | Individual#1's Levothyroxin was not initialed as being administered on 2/7/21 at 4 pm. | A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Name and initials of the person administering the medication. | All nurses and medication trained/certified staff will document that they have read and understand the Woods' Medication Administration Manual. |
05/31/2021
| Implemented |