| 6400.34(a) | The individual rights forms for individuals 1 and 2 did not include the right to have a locked bedroom door and the right to access food at any time. | 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. | During the inspection it was discovered that Individual rights forms for individuals #1 and # 2 did not include the right to have a locked bedroom door and the right to access food at any time. An updated Individual Rights form was reviewed with both individuals, signed and placed in their binders (see attachments #1, 1a, 2, 2a). |
03/07/2025
| Implemented |
| 6400.166(a)(11) | There was no diagnoses or purpose for individual 1's medications on the MAR. | 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. | During the inspection it was discovered that there was no diagnoses or purpose for individual 1's medications on the MAR. The Executive Director / COO has corrected the MAR and is working with the Pharmacy to ensure that each participants¿ MAR has all required information (including the 6400.166 Medication Record, (11) Diagnosis or purpose for the medication, including pro re nata) going forward (see attachment #4). |
03/07/2025
| Implemented |