Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00284440 Unannounced Monitoring 03/02/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.144Repeat 05/23/25- At the time of the inspection, the PRN medication Acetaminophen 325 MG Tablet was listed on the MAR but not available in the home for Individual #1.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. On 3/4/2026, the Medical Case Manager, , confirmed that the PRN acetaminophen was discontinued and removed from the individual's active medication list. (Attachment 17). 03/04/2026 Implemented
6400.213(1)(i)213(1v)- Individual #1's record does not include a next of kin.Each individual's record must include the following information: Personal information, including: (i) The name, sex, admission date, birthdate and Social Security number.On 3/4/2026, a Next of Kin prompt was added to the individual's facesheet to indicate that she has no Next of Kin. It is now listed as "none". (Attachment 18). 03/04/2026 Implemented