Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00197464 Renewal 11/16/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.166(a)(11)The medication administration record for November 2021 for Individual #1 does not list the reason or diagnosis for the prescribed Deep Sea Spray, Fluticasone, One-A-Day Chewable, Montelukast, and Pantoprazole.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Diagnosis or purpose for the medication, including pro re nata.During the inspection, we presented information regarding our progress in preparing to use ChartMeds as an electronic MAR system. In ChartMeds, the diagnosis for each medication has been entered and will appear on the electronic MAR for each medication for each administration. We will begin piloting ChartMeds in February and institute ChartMeds across our department in April 2022. Until that time, we do have documentation that provides the diagnosis/reason each medication is taken for that is kept in the medication binder with the paper MARs. This has always been our practice, unfortunately we did not present this during the inspection process. 01/12/2022 Implemented
SIN-00233645 Renewal 10/31/2023 Compliant - Finalized
SIN-00137907 Renewal 06/05/2018 Compliant - Finalized
SIN-00086072 Renewal 11/04/2015 Compliant - Finalized
SIN-00070348 Renewal 10/21/2014 Compliant - Finalized