| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.72(a) | A window at the rear of the property, facing the car port, had no screen. The window in Individual#1's bedroom was not securely screened. | Windows, including windows in doors, shall be securely screened when windows or doors are open. | Binty Nurses, Inc, maintenance team replaced the screen in the window of Individual's #1 room in the rear of the property on 6/1/2023. |
06/01/2023
| Implemented |
| 6400.72(b) | The bathroom window cannot stay up when opened; it slams down quickly. | Screens, windows and doors shall be in good repair. | Binty Nurses, Inc. maintenance team replace the window for proper ventilation in the home on 6/1/2023. |
06/01/2023
| Implemented |
| 6400.141(c)(13) | Individual#1's 10/3/22 physical does not address their allergies. Per their ISP and a review of their medications, they are prescribed several different medications for seasonal allergies. | The physical examination shall include: Allergies or contraindicated medications. | Individual #1 PCP will make corrections on next visit in 10/2023, Binty Nurse created an addendum to the physical for staff and other physicians to be informed of individual #1 allergies attaching it to the physical. |
10/24/2023
| Implemented |
| 6400.18(i) | Open incident dated 3/15/22 not finalized within 30 days of the discovery of the incident nor was an extension request found in record at inspection. | The home shall finalize the incident report through the Department's information management system or on a form specified by the Department within 30 days of discovery of the incident by a staff person unless the home notifies the Department in writing that an extension is necessary and the reason for the extension. | Binty Nurses, Inc. Incident Manager request in EIM for an extension place open incident in compliance on 4/21/2023. |
04/21/2023
| Implemented |
| 6400.207(4)(I) | Individual#1 is prescribed propranolol to be taken as needed for anxiety. Medications cannot be used to treat psychiatric conditions on a PRN basis and are considered a chemical restraint if used as such. The order must be made clearer and more specific. | A chemical restraint, defined as use of a drug for the specific and exclusive purpose of controlling acute or episodic aggressive behavior. A chemical restraint does not include a drug ordered by a health care practitioner or dentist for the following use or event: Treatment of the symptoms of a specific mental, emotional or behavioral condition. | Individual #1 prescribing physician discontinued the propranolol PRN medication on 5/19/2023. Changes have been made on the Medication Administration Record. |
05/19/2023
| Implemented |