| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.141(a) | Individual #1 was admitted on 9/03/2021 and did not have a physical examination until 10/12/2021. | An individual shall have a physical examination within 12 months prior to admission and annually thereafter. | This individual was admitted to our agency on 9/3/21 before this individual came into our agency we have discussed and agreed that the provider at the time will give us all the required medical records. However, after the individual moved in with us, they decided not to comply with anything that was previously agreed on. We tried to get her into her PCP within the required time frame but were unable due to a longer waiting period. |
05/09/2022
| Implemented |
| 6400.141(c)(6) | Individual #1 was admitted on 9/03/2021 and did not have a tuberculin skin test until 11/03/2021. | The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years for individuals 1 year of age or older; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. | This regulation is essential to the individual¿s health and well-being.
This individual was admitted to our agency on 9/3/21 before this individual came into to our agency we have discussed and agreed that the provider at the time will give us all the required medical records. However, after the individual moved in with us, they decided not to comply with anything that was previously agreed on. We tried to get her into her PCP within the required time frame but were unable to due to a longer waiting period. |
05/09/2022
| Implemented |
| 6400.181(a) | The Initial Assessment was completed more than 60 days after admission. The Individual was admitted on 9/03/2021 and the initial assessment was completed on 11/26/2021, 84 days after admission. | Each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the residential home and an updated assessment annually thereafter. The initial assessment must include an assessment of adaptive behavior and level of skills completed within 6 months prior to admission to the residential home. | The initial assessment is important because it gives the individual¿s team of supporters an idea of supports and other vital medical and behavioral information and updates needed to adequately support the individual.
The initial assessment was not completed within the required time frame due to the previous provider not releasing some important documents to us for this individual |
05/09/2022
| Implemented |