Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00113634 Renewal 05/23/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.144Individual #1's gluten free diet was not initialed on the MAR on 12/31/17. Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided. In order to address the citation, PDSI implemented the following: 1. The staff that made this error is no longer with us. (Attachment #1). 2. The staff that work with Individual #1 were re-trained in medication administration by Kerrie Young, LPN & Medication Administration Instructor (Attachment #2). 3. The staff that work with Individual #1 were re-trained on Individual #2's Gluten Free Diet by Kerrie Young, LPN & Medication Administration Instructor (Attachment #3). 4. Central Region Managers were re-trained by Courtney McGee on Person Directed Supports, Inc¿s Medication Checklist that is completed along with our Community Home Reviews at least once a week at each home (Attachment #4). 5. Validation: Medication checklists are completed at least weekly for each individual. A random sample of 10 individuals were pulled to show as validation (Attachment #5) 6. Validation: Supporters have successfully documented Individual #1's gluten free diet (Attachment #6- Individual #1¿s May 2017 MAR). 06/23/2017 Implemented
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