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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.82(f) | The hand soap for the bathroom was kept locked in a separate area away from the bathroom. | Each bathroom and toilet area that is used shall have a sink, wall mirror, soap, toilet paper, individual clean paper or cloth towels and trash receptacle. | Futures has transitioned to the use of Soft Soap for all community living arrangements as Of August 2, 2017. Within each community living arrangement there will be Soft Soap accessible in the bathroom and kitchen area. |
08/02/2017
| Implemented |
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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.33(a) | On June 2,2015 while staff was changing the dressing on Individual #1's left foot several worms/maggots fell to the floor upon removing the tube sock that covers the bandages. Staff 1,2 and3 stated that they never received training on the proper care of Individual #1's wounds. Staff neglected Individual #1 as they did not provide proper wound care. | An individual may not be neglected, abused, mistreated or subjected to corporal punishment. | All staff were trained on 6/16/15 on the following: risk factors of altered skin integrity-HCQU, Braden scale for predicting pressure risk sores, best practice guidelines - wound management in diabetic wounds, caring for sores/prevention and early treatment, 6/12-6/16 - skin and decubitus ulcer care by the HCQU, and 6/17 wound care changing, dressing, caring for wound by Guthrie home health. Program Specialist will be responsible to train all new staff on wound care. |
06/17/2015
| Implemented |
| 6400.162(a) | The Robert Packard Hospital Wound C are Center doctors prescribed and ordered medication to be mailed to the home of Individual #1 for her wound care. The medications that were used by staff were: Medi-Honey Cream, Aquacel gauze pads and Iodosorb 40 mg / 1.4 oz Iodine gel---none of these prescribed medications had a pharmaceutical label. | The original container for prescription medications shall be labeled with a pharmaceutical label that includes the individual's name, the name of the medication, the date the prescription was issued, the prescribed dose and the name of the prescribing physician. | All of the identified medications have been discontinued. The Program Specialist will be responsible for all medications, making sure they are in original containers, labeled with pharmaceutical labels that include the name of the individual, name of the medication, date it was prescribed, prescribed dose, and the name of the physician. The PS will monitor the medications at the home weekly to assure they are all labeled correctly. |
06/12/2015
| Implemented |
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