| 6400.166(a)(7) | Individual #1 is prescribed Fluticasone Spray 50 MCG with directions to use 1 spray in each nostril at bedtime as needed for allergy symptoms. The December 2023 Medication Administration Record has directions to "nose spray into each nostril at bedtime as needed for allergy symptoms." | A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Dose of medication. | Th individuals prescribed medication has been updated, so that the instructions match the label on the medication with the MAR. |
12/14/2023
| Implemented |
| 6400.207(5)(III) | On 12/06/2023 at 10:52 AM, Individual #1's bed contained full bedrails that restricted the movement or function of their body. The agency obtained a prescription for the bed rails on 12/06/2023. Although the bed rails are now prescribed by the practitioner, the most current assessment dated 12/01/2023 does not include whether the individual "can easily remove the device or if the device is removed by a staff person immediately upon the request or indication by the individual, and if the individual plan includes periodic relief of the device to allow freedom of movement." | A mechanical restraint, defined as a device that restricts the movement or function of an individual or portion of an individual's body. A mechanical restraint includes a geriatric chair, a bedrail that restricts the movement or function of the individual, handcuffs, anklets, wristlets, camisole, helmet with fasteners, muffs and mitts with fasteners, restraint vest, waist strap, head strap, restraint board, restraining sheet, chest restraint and other similar devices. A mechanical restraint does not include the use of a seat belt during movement or transportation. A mechanical restraint does not include a device prescribed by a health care practitioner for the following use or event: Protection from injury during a seizure or other medical condition, if the individual can easily remove the device or if the device is removed by a staff person immediately upon the request or indication by the individual, and if the individual plan includes periodic relief of the device to allow freedom of movement. | The ISP team met for an annual ISP review on 12/12/23 @ 10am. The ISP will be updated with Bedrails-The device is removed by a staff person immediately upon the request for indication by the individual and the individual plan now includes periodical relief of the device to allow freedom of movement. This new update was also added to current assessment dated 12/1/23. |
12/12/2023
| Implemented |