| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.141(c)(11) | The section designated for the medications administered to Individual #1 was blank on the physical dated 9/9/24. | The physical examination shall include: An assessment of the individual's health maintenance needs, medication regimen and the need for blood work at recommended intervals. | this individual's book has been separated into different sections to separate different appointments. this will help to elevate confusion of the many different forms and their attachments. |
05/16/2025
| Implemented |
| 6400.141(c)(15) | The section designated for special instructions for the individual's diet was blank on the physical completed on 9/9/24 for Individual #1 | The physical examination shall include:Special instructions for the individual's diet. | She is on a regular diet, with healthy choices. the physical done by the PCP did not have it due to her seeing a unionist on 10-4-24 where she stated regular diet with focus on healthy eating. |
05/16/2025
| Implemented |
| 6400.144 | Individual #1 was seen by a Neurologist on 8/28/24 and was recommended to return in six months. As of 4/16/25 Individual had not yet been seen. An appointment was scheduled for 5/7/25. The appointment was not completed within six months as recommended.
Individual #1 was seen by an Endocrinologist on 7/10/24 and was recommended to return in six months. As of 4/16/25 Individual #1 had not returned to the Endocrinologist as recommended. | 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.
| the appointment for 5-7-25 was the earliest that we could schedule for her with Geisinger specialty. moving forward the leads have been trained that they are to document in the mygeisinger system asking for a sooner appointment and getting it in writing if an earlier appointment could not be made. |
05/16/2025
| Implemented |