Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.112(c) | The written fire drill record for the fire drill, completed 12/17/2020, did not include the exit route used to evacuate. | A written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the fire alarm or smoke detector was operative. | Quick Care Home will update written fire drill record document that shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the fire alarm or smoke detector was operative. |
04/12/2021
| Implemented |
6400.141(c)(3) | Individual #1 last received the recommended Tetanus immunization on 9/27/2007. | The physical examination shall include: Immunizations for individuals 18 years of age or older as recommended by the United States Public Health Service, Centers for Disease Control, Atlanta, Georgia 30333. | Individual # 1 will be scheduled for a physical examination that will include Tetanus Immuzization. |
04/30/2021
| Implemented |
6400.18(a)(3) | The home reported the Hospitalization incident (ID#: 8798173) that occurred on 1/15/2021 into the Department's information management system on 1/21/2021. | The home shall report the following incidents, alleged incidents and suspected incidents through the Department's information management system or on a form specified by the Department within 24 hours of discovery by a staff person: Inpatient admission to a hospital.
| Quick Care Homes has delegated EIM incident reporting to newly hired Program Specialist for Allegheny County. The Program Specialist will ensure that Hospitalization incidents are reported within 24hrs. |
04/07/2021
| Implemented |
6400.18(a)(9) | The home reported the Emergency Room Visit incident (ID#: 8767434) that occurred on 11/13/2020 into the Department's information management system on 11/15/2020. | The home shall report the following incidents, alleged incidents and suspected incidents through the Department's information management system or on a form specified by the Department within 24 hours of discovery by a staff person:
Injury requiring treatment beyond first aid.
| Quick Care Homes has delegated EIM incident reporting to newly hired Program Specialist for Allegheny County. The Program Specialist will ensure that Emergency Room visit incidents are reported within 24hrs. |
04/07/2021
| Implemented |
6400.34(a) | Individual #1 was informed and explained the individual rights on 10/16/2020. The rights document did not include the following rights: 6400.32d, to be treated with dignity and respect; 6400.32f through 6400.32j, to choose, accept risks, refusal and control the individual's schedule, privacy of person and possessions, access to and security of possessions, to voice concerns about services, right to voice concerns about services; 6400.32n, to unrestricted and private telecommunications; 6400.32p through 6400.32v, choose with whom to share a bedroom, furnish and decorate bedroom and common area, to lock doors in bedrooms and in the home, to access food at any time, to make health care decisions. | The home shall inform and explain individual rights and the process to report a rights violation to the individual, and persons designated by the individual, upon admission to the home and annually thereafter. | Quick Care Homes have updated the individual rights document to include the following:
6400.32d, to be treated with dignity and respect; 6400.32f through 6400.32j, to choose, accept risks, refusal and control the individual's schedule, privacy of person and possessions, access to and security of possessions, to voice concerns about services, right to voice concerns about services; 6400.32n, to unrestricted and private telecommunications; 6400.32p through 6400.32v, choose with whom to share a bedroom, furnish and decorate bedroom and common area, to lock doors in bedrooms and in the home, to access food at any time, to make health care decisions. |
04/19/2021
| Implemented |