Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00157469 Renewal 08/06/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.80(b)Outside, to the left of the sliding glass door, leading from the interior of the home to the back deck, there was evidence of a bee's nest. There were approximately 15-20 bees flying around by the door near the light fixture. Individual #1's current ISP lists an allergy to bee pollen in the allergies section. The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions.1. On 8/8/2019 the bee¿s nest and the surrounding area was sprayed with bee killer. Then on 8/12/2019 pest control went to the home to treat the area again. (Attachment 1) 2. Management staff were re-trained on regulation 6400.80(b) that states that the outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions on 8/28/19 and 8/29/19 by Erica Kershner and Anna Edling of the PDS Quality Management Department. (Attachments 2 and 3) 3. The Community Home Review was revised to include a specific question regarding outside insects and pests. (Attachment 4) 4. Management staff were trained on the revised community home review form on 8/28/19 and 8/29/19 by Erica Kershner and Anna Edling of the PDS Quality Management Department. (Attachments 3 and 5) 5. Validation- community home reviews were completed for each home, to ensure that all homes are in compliance with this regulation. A sample of these completed forms are attached as validation. (Attachment 6) 09/02/2019 Implemented
SIN-00073856 Renewal 01/20/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.165Individual #1's Bupropion dose was scribbled out and signed over with no indication why on 9/26/14 and 9/27/14.Documentation of medication errors and follow-up action taken shall be kept. In order to address the violation listed above, PDSI implemented the following: ¿ The documentation error was documented on the back of the MAR by Regional Director/LPN on January 23, 2015 (Attachment 7). ¿ The supporter failing to accurately document the PRN on the MAR was retrained in Medication Administration Record Documentation when he returned from vacation on February 16, 2015 (Attachment 8). ¿ The Vice President of Quality Management developed a MAR review sheet to be utilized by the nursing staff when reviewing MARs (Attachment 9). ¿ All nurses were trained on March, 30, 2015 in the new MAR review sheet (Attachment 10) ¿ Each nurse used the MAR review sheet for all individuals under their care starting the month of April 2015. (Attachment 11 ¿ for Individual #1¿s MAR and another individual¿s MAR) (Attachment 12 ¿ another week of MAR review for Individual #1 and another individual) 06/22/2015 Implemented
SIN-00218876 Renewal 01/30/2023 Compliant - Finalized
SIN-00199134 Renewal 02/01/2022 Compliant - Finalized
SIN-00173965 Renewal 01/12/2021 Compliant - Finalized
SIN-00135339 Renewal 07/17/2018 Compliant - Finalized
SIN-00110670 Renewal 05/23/2017 Compliant - Finalized
SIN-00113636 Renewal 05/23/2017 Compliant - Finalized
SIN-00044997 Renewal 01/28/2013 Compliant - Finalized