| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.67(b) | The sliding door in the living room was off the track making it a hazard as it could fall into the home and hurt someone. | Floors, walls, ceilings and other surfaces shall be free of hazards. | The sliding door was repaired and put back on track on 7/26/2024 to ensure there was no hazard for the home.
See violation 1 attachment #1 |
07/26/2024
| Implemented |
| 6400.72(b) | The screen door leading out to the balcony was off track and needing to be repaired. A request was made for notice of repair within 48 hours. | Screens, windows and doors shall be in good repair. | The screen door leading to the balcony was put back on track on 7/26/2024 by the maintenance team. See attachment #2. |
07/26/2024
| Implemented |
| 6400.143(a) | Individual #1's medication Flonase spray had not been taken for the entire month of July. It was prescribed to be taken twice a day. Staff had not indicated on the record why it had not been taken. While in the home individual #1 stated that they did not want to take the medication. Staff also noted that the individual was refusing. | If an individual refuses routine medical or dental examination or treatment, the refusal and continued attempts to train the individual about the need for health care shall be documented in the individual's record. | The staff began to document all individual #1¿s medication refusal on the medication administration record beginning 8/1/2024. However, the healthcare practioner discontinued the nasal spray on 8/5/2024. See attachment#3. |
08/05/2024
| Implemented |
| 6400.144 | Individual #1 who is a type 2 diabetic has been prescribed to have sugars taken twice a day. However, upon inspection it was noted that sugars had risen to high levels, 294 without intervention.
Individual #1 who is a type 2 diabetic has food in the home that is high in sugar and has not received nutritional education on better choices by a professional. | 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.
| Individual #1 went for consultation to the doctor on 8/5/2024 and there is a diabetic sugar protocol in place for staff to follow moving forward. See attachment#3
All food in the home for the individual was reviewed and replaced with foods with low sugar for nutritional education on better choices. See attachment #4 |
08/05/2024
| Implemented |
| 6400.216(a) | There were vital records containing personal and protected information stored in unlocked drawers underneath the television in the living room. | An individual's records shall be kept locked when unattended.
| The individual records were locked during the inspection on 7/26/2024. See attachment#5. |
07/26/2024
| Implemented |