Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6500.121(c)(1) | Individual #3's annual physical dated December 20, 2020 did not include documentation of her medical history. The physical indicated that the Physician reviewed the medical history, however there was no documentation on or attached to the physical. | The physical examination shall include: (1.) A review of previous medical history. | Futures has updated their physical form to prompt an attachment of what medical history was reviewed. Physicians do review an individuals medical history at the onset of each appointment through their electronic health record but in addition to this Futures will provide the physician completing the annual physical a written document that includes information related to the individuals medical history. |
09/01/2021
| Implemented |
6500.121(c)(6) | Individual #3's last TB Test was completed on July 25, 2019 and is out of the 2 year time period. | Tuberculin skin testing by Mantoux method with negative results every 2 years for individuals 1 year of age or older; or, if a tuberculin skin test is positive, an initial chest x-ray with results noted. | Individual #2 obtained her TB on 8/11/21 and it was read (negative) on 8/13/21. |
08/13/2021
| Implemented |
6500.32(r)(1) | Individual #3's bedroom door has a lock on it. There is not key to access the lock from the outside. The lock on the door is a pin hole lock and neither Individual #4 nor the Family Living Provider have a key to access the lock. | An individual has the right to lock the individual's bedroom door. Locking may be provided by a key, access card, keypad code or other entry mechanism accessible to the individual to permit the individual to lock and unlock the door. | A lock with a key will be placed on individual #3 bedroom door. |
09/30/2021
| Implemented |
6500.34(a) | Individual #3 was informed of her rights on 10/25/2020, however the individual rights were not current. The missing right included: 32(o) An individual has the right to manage and access the individual's finances. | Individual rights and the process to report a rights violation shall be explained to the individual, and persons designated by the individual prior to moving into the home and annually thereafter. | Futures has updated their individual rights to include the individual's right to manage their own finances. The updated individual rights will be reviewed with individual #1. Upon review the individual will sign an acknowledgement form. |
09/15/2021
| Implemented |
6500.133(h) | Individual #3 is prescribed Neomycin Polymyxin HC Ear. Place 3 drops into the left ear twice daily for five days. Dated May 3, 2021. This medication was administered in May and discontinued after 5 days. It was still in the home during this inspection. The discontinued medication was not disposed of properly. | Prescription medications that are discontinued or expired shall be destroyed in a safe manner according to Federal and State statutes and regulations. | Medicine was discarded. This medicine is something that individual #3 needs periodically so the next this medicine is needed the provider will discuss the possibility of it being prescribed as a PRN for individual #3. |
08/13/2021
| Implemented |
6500.152(c) | Individual #3's assessment indicates that she is independent with money management. It further indicates that Individual #3 is able to manage a small amount of money. Individual #3's Individual Service Plan indicates that they are unable to handle and manage their finances but that they are able to carry up to $5. The Family Living Provider reports that Individual #3 is unable to manage their money and can only carry a small amount at a time. It is unclear what Individual #3's ability to manage money is based on the information provided as it is conflicting information. Individual #3's assessment indicates that they are self-medicating. The Family Living Provider indicated that Individual #3 is unable to self-medicate. Individual #3's Individual Service Plan does not address their ability to self-medicate or the level of assistance they require when administering medication. Individual #3's assessment indicates that they are able to have up to 30 minutes of unsupervised time while at the home. Individual #3's Individual Service Plan indicates that they are able to have up to 1 hour of unsupervised time while at the home. It is unclear how much unsupervised time Individual #3 is permitted to have while at home as the information is conflicting. | The individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment. | Individual #3 assessment has been updated. The updated assessment will be submitted to the supports coordinator with a request to update individual #3 ISP. |
09/07/2021
| Implemented |