Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00208700 Unannounced Monitoring 07/26/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.166(a)(13)Fenofibrate 200m Cap, take one capsule by mouth daily in the evening, prescribed to Individual #1 was not initialed as administered at 9:00PM on 7/12/22, 7/13/22, and 7/19/22. Olanzapine 10mg Tab, take one tablet by mouth every evening, prescribed to Individual #1 was not initialed as administered at 9:00PM on 7/12/22, 7/13/22, and 7/19/22. Metformin ER 500mg Tab, take two tablets by mouth twice daily, prescribed to Individual #1 was not initialed as administered at 9:00PM on 7/12/22, 7/13/22, and 7/19/22 and 8:00AM on 7/18/22. Lisinopril 2.5mg Tab, take one tablet by mouth every morning, prescribed to Individual #1 was not initialed as administered at 8:00AM on 7/18/22. Citalopram 20mg Tab, take one and a half tablets by mouth every morning, prescribed to Individual #1 was not initialed as administered at 8:00AM on 7/18/22.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Name and initials of the person administering the medication.Provider confirmed through medication count that all medications were administered. Provider reached out to staff whose signatures were missing and the corrections were made to the medication administration record. An in-service was sent to all staff on August 3, 2022 and will be completed by August 17, 2022. 08/04/2022 Implemented
SIN-00205502 Unannounced Monitoring 05/16/2022 Non Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(e)On 5/16/2022, a trash receptacle with a height of twenty-four inches in the kitchen of the home was uncovered.Trash receptacles over 18 inches high shall have lids. The kitchen trash receptacle was replaced on 5/16/22 by NHCS administration. NHCS administration checked the home to ensure that all trash cans over 18 inches have lids. 06/21/2022 Not Implemented
6400.67(a)On 5/18/2022, at 11:11AM, there was a three feet diameter puddle of water around the sewer drain on the floor in the basement of the home. The puddling around the sewer drain was up to an inch deep and contained a muddy brown substance. The sewer drain had an accumulation of a thick brown mucky substance clogging most of the holes of the sewer drain cover.Floors, walls, ceilings and other surfaces shall be in good repair. NHCS contacted the landlord on 5/18/22 and the landlord came on site to evaluate the leak. The landlord fixed the leak on 5/19/22. The water puddle and the brown substance was cleaned up and monitored on 5/18/22 by NHCS direct support professional. Staff noticed the leak was back on 5/27/22. NHCS administration contacted a plumber on 5/27/22, and the plumber corrected the issue on 5/27/22. The water puddle was cleaned up and monitored on 5/27/22 by NHCS direct support professional. 06/21/2022 Not Implemented
6400.67(b)On 5/16/2022, there was a six-inch wire with an attached electrical mounting device protruding from the wall floor trim near the top of the stairway in the living room of the home posing a tripping and falling hazard. Floors, walls, ceilings and other surfaces shall be free of hazards.The wire has been removed from the wall as of 5/18/22. The provider reviewed the physical site to make sure there were no tripping or falling hazards on 5/18/22. 06/21/2022 Not Implemented
6400.68(a)On 5/16/2022, the hot water at the sink in the hallway bathroom on the first floor of the home was inoperable. The sink faucet had a continuous flow of hot water. The hot water was to be completely shut off from underneath the sink to avoid the continuous flow of hot water in the sink.A home shall have hot and cold running water under pressure. The bathroom sink faucet was replaced on 5/16/22 by NHCS administration. The water temperature was tested at the identified faucet to ensure it was under 120 degrees on 5/16/22 and 5/17/22 by NHCS administration. ODP licensing visited the site on 5/18/22 and verified the issue was corrected. 06/21/2022 Not Implemented
6400.72(a)On 5/18/2022, at 11:48AM, two of the four windows in Individual #1's bedroom did not have screens.Windows, including windows in doors, shall be securely screened when windows or doors are open. The screens were placed in all four windows on 5/21/22. The provider checked all windows in the home to make sure there are screens present on 5/18/22. 06/21/2022 Not Implemented
6400.73(a)On 5/16/2022, the three outside steps between the driveway and the walkway in the front of the home did not have a handrail. Each ramp, and interior stairway and outside steps exceeding two steps shall have a well-secured handrail. A handrail was installed on the steps outside of the home on 5/20/22 by NHCS administration. NHCS administration ensured the other handrail inside of the home was well secured on 5/20/22. 06/21/2022 Not Implemented
6400.80(a)On 5/16/2022, there was an inordinate amount of dried-up and rotting leaves thickly covering the steps and on the driveway in front of the steps and the length of the retaining wall along the driveway rendering that egress impassable and posing a tripping, falling and slipping hazard. Outside walkways shall be free from ice, snow, obstructions and other hazards. A lawn care company was on site on 5/18/22 and cleaned up the leaves around the home. CEO ensured that all leaves were cleaned up on 5/18/22 around the home. 06/21/2022 Not Implemented
6400.105On 5/18/2022, at 11:13AM, the lint filter of the dryer had an excessive accumulation of dryer lint posing a risk of combustion.Flammable and combustible supplies and equipment shall be utilized safely and stored away from heat sources. The dryer lint filter was cleaned on 5/18/22 on site by the CEO. A note was created to place by the dryer to clean the lint trap after every use on 6/7/22 as a reminder to all staff. 06/21/2022 Not Implemented
SIN-00186010 Renewal 04/09/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.111(f)The Fire Extinguisher located in the kitchen of the home was last inspected in February 2020. A fire extinguisher shall be inspected and approved annually by a fire safety expert. The date of the inspection shall be on the extinguisher. Owner had fire extinguisher re-inspected. 04/12/2021 Implemented
SIN-00232603 Renewal 10/11/2023 Compliant - Finalized
SIN-00214224 Renewal 11/01/2022 Compliant - Finalized
SIN-00211798 Unannounced Monitoring 09/23/2022 Compliant - Finalized
SIN-00201828 Renewal 03/15/2022 Compliant - Finalized