Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.144 | At the time of the 6/30/21 inspection, the following PRN medications for Individual #1 were not available in the home: Orajel Maximum Strength, Ondansetron 4mg, Mi-Acid Gas Relieftab, and M*B*X Susp Compound-120. | 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 pharmacy was contacted on 06/30/21 by the direct support staff the same day the deficiency was noted. The pharmacy contacted the physician and Orajel, MBX Suspension, Mi-acid and Zofran were all discontinued. The Pharmacy faxed the discontinuation order to the CRS office and supervisory discontinued these medications. See Attachments #5a, #5b and #5c. |
01/08/2022
| Implemented |
6400.165(c) | Individual #1's original prescription order from Doctor for Pantoprazole stated that the medication was to be discontinued on 1/1/21. This medication was administered to Individual #1 until 1/13/21.
Individual #1's original prescription for Prevident 5000 was issued on 5/20/20. At that time, Doctor original order was for Individual #1 to brush with this prescription twice daily. On 4/28/21, Dr. updated the order to brush three times daily. The January 2021 through June 2021 Medication Administration Records indicate that this prescription is only being utilized once daily.
Individual #1's prescription order issued by Dr. for Clearlax dated 9/23/20 indicates that the medication is to be administered twice daily, 6 hours apart. Beginning 5/1/21, this medication has been administered 7 hours apart instead of the prescribed 6 hours. | A prescription medication shall be administered as prescribed. | Staff who continued to administer the Pantoprazole was retrained by supervisory staff who are medication administration trainers on the correct procedure to follow when a medication order is received, and a medication is discontinued. See attachment #6a. |
01/08/2022
| Implemented |
6400.166(a)(11) | There is no diagnosis or purpose listed for the following medications on Individual #1's Medication Administration Record: SF 5000+ Cream, Mucus Relief DM, Loratadine, and Clearlax Powder. | 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. | These diagnoses were listed on the current MARS for July by CRS staff. See Attachment #7a |
01/08/2022
| Implemented |
6400.213(1)(i) | Individual #1's face sheet lists their religion as "N/A." | Each individual's record must include the following information: Personal information, including: (i) The name, sex, admission date, birthdate and Social Security number. | Resident #1s Face Sheet was updated on 7/16/21. At this time, she chose no formal religion to profess. This was noted on the Face Sheet as Resident's #1 choosing not to be affiliated with any religion. Face Sheets of other individuals will be reviewed and eliminate any Not Applicable. Please note that this could not be updated any earlier as this resident was on vacation until 7/16/21. See Attachment #8a. |
08/10/2021
| Implemented |