| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.34(b)(2) | The homes' civil rights policy does not include mention of physical accessibility and accomodations for individuals with physical disabilities. | (2) Physical accessibility and accommodations for individuals with physical disabilities.
| The Civil Rights/Nondiscrimiation Policy was updated in June 2011. However, for the preinspection, the old policy was sent by mistake. All staff were informed of the new policy and copies made available. All policy manuals were reviewed to ensure the updated policy which includes language related to physcial accessiblity are in place. |
12/07/2012
| Implemented |
| 6400.103 | The homes' emergency evacuation procedures does not clearly define individual and staff responsibilities. | There shall be written emergency evacuation procedures that include individual and staff responsibilities, means of transportation and an emergency shelter location.
| The emergency evacuation procedure includes individual and staff respnsibilities with the method of transportation and the emergency shelter location. |
12/05/2012
| Implemented |
| 6400.141(c)(9) | Individual # 1 did not have a current prostate exam. | (9) A prostate examination for men 40 years of age or older.
| Individual #1's primary physician felt that he did not need a prostate exam due to his advanced age. A second opinion was obtained on 12/24/12. The regulation concerning the importance of obtaining a prostate exam was explained to this physician. The prostate examination was completed and was benign. The requirement of obtaining a yearly prostate examination for men age 40 and older was reiterated to the management and wellness staff. Going forward, all men age 40 and over will obtain yearly prostate examinations. |
12/24/2012
| Implemented |