| 6400.141(c)(14) | Individual #1 annual physical dated 8.15.24 did not list information pertinent to diagnosis and treatment in case of an emergency. The area if the physical was left blank. | The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. | This form has been returned to the physician and diagnosis and treatment (in case of emergency has been filled in. |
04/22/2025
| Implemented |
| 6400.166(a)(11) | The medication administration record (MAR) shall record the purpose or diagnosis for the medication. Individual #1 is prescribed Sevelamer Carbonate 800 mg tablet to be taken with dinner. The purpose or diagnosis was not on the pharmacy label or 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. | The diagnosis/purpose for the Sevelamer Carbonate 800mg has been written on the MAR. |
04/30/2025
| Implemented |