| 6400.106 | The home was added to the agency's Certificate of Compliance, effective 3/5/21; however, the initial furnace inspection was completed on 9/24/21. | Furnaces shall be inspected and cleaned at least annually by a professional furnace cleaning company. Written documentation of the inspection and cleaning shall be kept.
| The management team has been retrained on the self assessment tool. This training included properly inspecting the furnace "prior to" an individual transitioning into the home. |
09/30/2021
| Implemented |
| 6400.166(a)(11) | There was no purpose or diagnosis Listed on Individual #1's September 2021 Medication Administration Record for any of Invidiuall#1's medications, including, but not limited to: Celecoxib Cap 200 mg for Celebrex with instructions to take 1 capsule by mouth twice a day; Gabapentin Cap 200 mg with instructions take 1 capsule three times a day. | 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. | Diagnosis or purpose for the medication was written on the MAR. |
10/01/2021
| Implemented |