Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00277000 Renewal 10/30/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.22(c)On 9/25/2025, the provider agency used Individual #1's personal funds to purchase three boxes of Vinyl Powder-Free Gloves for $2.55 per box, totaling $7.65. Staff interviews revealed that Individual #1 does not assist in their own personal care and would not need to utilize the gloves.Individual funds and property shall be used for the individual's benefit. Individual #1 has been reimbursed for the cost of the gloves, $7.65. In the future her funds will not be used to cover the cost of items covered under the room and board costs as outlined in 6100.684, specifically 6100.684.d10 incontinence products. Individual #1's funds will be used for items she needs or desires which are not covered under 6100.684. 12/23/2025 Implemented
6400.62(a)On 10/31/2025 at 10:13 AM, there was a steel shackle padlock very loosely fastened onto the handles of the cabinet, under the sink in the kitchen of the home, rendering the cabinet unlocked and accessible as the doors were able to be opened approximately six inches. The cabinet contained spray bottles of Windex and Orange Glo and containers of Pine-Sol and Member's Mark Dishwasher Pods. At 10:25 AM, a package of Cascade Dishwasher Pods and a bottle of Cascade Power Dry Rinse Aid was unlocked and accessible in the cabinet under the sink in the laundry room on the first floor of the home. At 10:58 AM, a spray bottle of Medline Remedy Cleaning Body Lotion with instructions to contact Poison Control if ingested was unlocked and accessible in a cabinet in the kitchen of the home. Individual #1's individual support plan, last updated 10/29/2025, reads, "[Individual #1] requires close proximity supports when in the vicinity of any poisonous substance because [Individual #1] is unable to read. These substances are contained in a locked cupboard at [their] residence and older adult daily-living center."Poisonous materials shall be kept locked or made inaccessible to individuals. A more secure lock has been placed on the cabinet under the sink in the kitchen as well as the cabinet under the sink in the laundry area. The locks have been applied so that the cabinets cannot be opened with the locks in place and any items in the cabinet, especially chemicals removed. 12/23/2025 Implemented
6400.64(a)On 10/31/2025 at 10:17 AM, the bottom of the oven was covered in thick black residue and burnt food remnants. At 10:25 AM, there was stagnant water and dark spots of what appeared to be mold, from a leaking pipe under the sink in the laundry room, on the first floor of the home.Clean and sanitary conditions shall be maintained in the home. The oven has been thoroughly cleaned, as well as the entire sink in the laundry area. All other appliances and plumbing fixtures in the home were inspected and cleaned as well. 12/23/2025 Implemented
6400.67(a)On 10/31/2025 at 10:25 AM, there was a pipe leaking into the cabinet under the sink in the laundry room on the first floor of the home.Floors, walls, ceilings and other surfaces shall be in good repair. The sink in the laundry area has been assessed by maintenance staff and determined that a fitting was broken. The broken fitting has been replaced, and the leak has ceased. 12/23/2025 Implemented
6400.67(b)On 10/31/2025 at 10:39 AM, a four-inch by two-inch section of the paneled floor outside Individual #2's bedroom was loose and was dented inward when stepped on posing a tripping hazard. Floors, walls, ceilings and other surfaces shall be free of hazards.The four-inch by two-inch section of the paneled floor outside Individual #2's bedroom has been replaced with similar flooring and the edges sanded to prevent any lifted areas which would create tripping hazards. 12/23/2025 Implemented
6400.72(a)On 10/31/2025 at 10:16 AM, there was no screen in the operable window in the bathroom, near the kitchen on the first floor of the home.Windows, including windows in doors, shall be securely screened when windows or doors are open. Materials have been ordered to construct a screen for the bathroom window since the original screen is no longer available. 12/23/2025 Implemented
6400.80(b)On 10/31/2025 at 10:52 AM, the cement paver directly outside the exit in the basement of the home, was protruding upward approximately one and a half inches from the second concrete paver, posing a tripping hazard. The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions.The maintenance staff raised the cement paver, putting gravel under the paver to prevent future sinking into the dirt and making sure the pavers were then level. In addition, the dirt area next to the cement pavers has been smoothed out and seeded with grass to slow the water flow around the pavers and prevent mud and erosion, allowing the pavers to become unlevel again. 12/23/2025 Implemented
6400.114(b)The provider agency's smoking policy prohibits smoking inside the home while individuals are present. Staff interviews revealed that staff have been utilizing a lit cigarette inside the home and waving it in front of the smoke detectors to set off the fire alarms for monthly fire drills, while the individuals are home.Written smoking safety procedures shall be followed.The staff who has been responsible for conducting most of the fire drills at this location was trained on 11/5/2025 how to appropriately set off the fire alarm for a drill. A drill was conducted on this day using the appropriate method, pushing and holding the button in the center of the smoke detector. The alarm functioned properly and activated the interconnected fire alarms in the residence. 12/23/2025 Implemented
6400.141(c)(8)As of 9/26/2024, Individual #1 is recommended to have mammograms completed annually. Individual #1's most recent mammogram was completed on 9/26/2024.The physical examination shall include: A mammogram for women at least every 2 years for women 40 through 49 years of age and at least every year for women 50 years of age or older. Individual #1 is scheduled for a mammogram on 2/12/2026, the soonest available appointment for the specific diagnostic imaging recommended for her. She will continue to receive annual mammograms until her physician determines she is clear and they are no longer necessary. 12/23/2025 Implemented
6400.216(a)On 10/31/2025 at 11:35 AM, a binder that contained the personal demographic information and Individual Support Plans of Individual #1, Individual #2, Individual #3, and other individuals living in the provider agency's other homes, was unlocked and unattended on top of the microwave in the kitchen of the home. An individual's records shall be kept locked when unattended. The binder containing the personal information and Individual Support Plans has been properly secured in the office, which is kept locked. 12/23/2025 Implemented
6400.32(r)(1)On 10/31/2025 at 10:20 AM, there was a turn locking mechanism on the inside with a pinhole locking mechanism on the outside of the door leading to Individual #3's bedroom. Individual #3 has not been provided with a designated mechanism to lock and unlock the door independently. Staff interviews also revealed that Individual #3 is not physically able to utilize this locking mechanism independently. At 10:22 AM, there was a turn locking mechanism on the inside with a pinhole locking mechanism on the outside of the door leading to Individual #1's bedroom. Individual #1 has not been provided with a designated mechanism to lock and unlock the door independently. At 10:30 AM, there was a turn locking mechanism on the inside with a pinhole locking mechanism on the outside of the door leading to Individual #2's bedroom. Individual #2 has not been provided with a designated mechanism to lock and unlock the door independently.Locking may be provided by a key, access card, keypad code or other entry mechanism accessible to the individual to permit the individual to lock and unlock the door.The locks for the individuals in this residence have been removed and replaced with regular bedroom doorknobs. Each individual's record contains a door lock form which is reviewed annually and all three of these individuals have communicated that they do not want a lock on their bedroom door, and as stated Individual #3 is physically unable to manipulate a lock or place herself next to the door to manipulate any type of locking device. 12/23/2025 Implemented
6400.32(r)(5)On 10/31/2025 at 10:20 AM, there was a turn locking mechanism on the inside with a pinhole locking mechanism on the outside of the door leading to Individual #3's bedroom. Staff did not have a designated mechanism to unlock the bedroom door in case of an emergency. At 10:22 AM, there was a turn locking mechanism on the inside with a pinhole locking mechanism on the outside of the door leading to Individual #1's bedroom. Staff did not have a designated mechanism to unlock the bedroom door in case of an emergency. At 10:30 AM, there was a turn locking mechanism on the inside with a pinhole locking mechanism on the outside of the door leading to Individual #2's bedroom. Staff did not have a designated mechanism to unlock the bedroom door in case of an emergency.Direct service workers who provide services to the individual shall have the key or entry device to lock and unlock the door.For Individuals #1, #2, and #3, the door locks have been removed from their bedroom doors and replaced with regular doorknobs. They have been informed of their right to have a locking door and either chose not to have a lock or would not be able to independently operate any type of locking mechanism. There are currently no locking bedroom doors in the residence. 12/23/2025 Implemented
6400.34(a)Individual #1 was informed of and explained individual rights on 9/09/2024 and then again on 10/13/2025.The home shall inform and explain individual rights and the process to report a rights violation to the individual, and persons designated by the individual, upon admission to the home and annually thereafter.Individual #1's individual rights were reviewed and signed on 10/13/2025 which was the date of her annual meeting. The individual rights are normally reviewed and signed at the annual review meeting. Her previous annual was 11/11/2024. It is unclear why the individual rights were dated for September 2024 and it was an oversight that they were not reviewed again in September 2025. In the future, it will continue to be reviewed during the annual review meeting to remain in compliance. 11/26/2025 Implemented
6400.166(a)(5)Individual #1's October 2025 medication administration record did not include the strength of Acetaminophen 500MG Tablets.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Strength of medication.Individual #1's medication administration record has been corrected to include the strength of the Acetaminophen. The other medications and treatments on the medication administration record were reviewed to ensure the strength is included for each medication and treatment. 11/25/2025 Implemented
6400.166(a)(7)Individual #1 is prescribed Tussin DM with instructions to, "Give 10MLs by mouth as needed for cough/congestion." Individual #1's October 2025 medication administration record documents, "Give 5ML-10MLs by mouth as needed for cough/congestion."A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Dose of medication.Individual #1's medication administration record has been corrected to include the correct dose of the Tussin. The other medications and treatments on the medication administration record were reviewed to ensure the dose is correct for each medication and treatment. 11/25/2025 Implemented
6400.166(a)(11)Individual #1's October 2025 medication administration record did not include a diagnosis or purpose for Vitamin D.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 Vitamin D prescription for Individual #1 was verified with the order and the diagnosis or purpose was written on the medication administration record. All other medications on the medication administration record were reviewed to ensure the information matched and the diagnosis was listed. 11/25/2025 Implemented
6400.166(b)Individual #1's prescribed medication, Metoprolol, was not initialed as administered at 7:00 AM and 7:00 PM on 10/29/2025.The information in subsection (a)(12) and (13) shall be recorded in the medication record at the time the medication is administered.The error for Individual #1 occurred on 10/29/2025 and therefore this particular error cannot be corrected at this time. 11/25/2025 Implemented
6400.182(c)Individual #1's assessment, completed 11/29/2024, states that Individual #1 is independent with poisons. Individual #1's individual support plan, last updated 10/29/2025, documents, "[Individual #1] requires close proximity supports when in the vicinity of any poisonous substance because [Individual #1] is unable to read. These substances are contained in a locked cupboard at [their] residence and older adult daily-living center." Additionally, Individual #1's individual support plan documents, "[Individual #1] had [their] last mammogram on 9/26/24 and is now since exempt from mammogram's and routine gyn per physician." The results of Individual #1's 9/26/2024 mammogram results recommend that it is completed annually.The individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment.Individual #1's current assessment, dated 11/17/2025, has been updated to correctly reflect her awareness and handling of poisons, "Patricia independently demonstrates knowledge of non-edibles and is able to identify the chemicals by the appearance of the bottle since she does not read but due to limited physical ability, specifically the use of one arm/hand and poor strength in the good arm/hand she would not be able to safely handle the chemicals independently. For this reason, and the safety of her housemates, the chemicals are kept securely locked." This information matches the information in her Individual Support Plan. The Supports Coordinator has been contacted and the Individual Support Plan has been updated to reflect the information regarding her annual mammograms which will continue until recommended otherwise by her physician. Her current Individual Support Plan reads as follows, "PATTY HAD HER LAST MAMMOGRAM ON 9/26/24 AND WILL RETURN FOR ANNUAL APPOINTMENTS UNTIL FURTHER NOTICE." 11/26/2025 Implemented
SIN-00257245 Renewal 12/10/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(4)Individual #1's, date of birth 9/09/1948, most recent hearing screening was completed on 6/23/2023. This exceeds the annual requirement.The physical examination shall include: Vision and hearing screening for individuals 18 years of age or older, as recommended by the physician. Individual #1¿s record was reviewed to ensure no other annual exams or recommended medical appointments were not completed. The review showed that all other exams and necessary appointments were completed as required/recommended. An appointment for a hearing exam has been scheduled for 2/20/25. This was the soonest available appointment with her provider. The records of all other individuals have been reviewed to ensure the hearing exams and all other required annual exams and recommended appointments have been completed. If, after the review, there are exams or appointments found that have not been completed, these will be scheduled for the next available appointment. 12/31/2024 Implemented
6400.207(5)(III)On 12/11/2024, Individual #2's bed contained bedrails that restrict the movement or function of their body. On 12/11/2024, Individual #3's bed contained bedrails that restrict the movement or function of their body.A mechanical restraint, defined as a device that restricts the movement or function of an individual or portion of an individual's body. A mechanical restraint includes a geriatric chair, a bedrail that restricts the movement or function of the individual, handcuffs, anklets, wristlets, camisole, helmet with fasteners, muffs and mitts with fasteners, restraint vest, waist strap, head strap, restraint board, restraining sheet, chest restraint and other similar devices. A mechanical restraint does not include the use of a seat belt during movement or transportation. A mechanical restraint does not include a device prescribed by a health care practitioner for the following use or event: Protection from injury during a seizure or other medical condition, if the individual can easily remove the device or if the device is removed by a staff person immediately upon the request or indication by the individual, and if the individual plan includes periodic relief of the device to allow freedom of movement.Individual #2 had an appointment on 12/19/24 to discuss the different options for their hospital bed and a better option for them was thought to be a hi-lo bed with floor mats beside the bed. This would eliminate the use of bedrails and the potential for injury if s/he attempted to get out of bed without staff assistance. The PCP agreed and wrote an order for the hi-lo bed and initiated the process to have the bed approved through the insurance. Individual #3 saw her PCP on 12/18 for their annual physical and at that time their bed situation was discussed and an order was obtained to use a mattress with the built-in foam bolsters rather than the bedrails. Individual #3 no longer has the ability to move as much in bed and is not able to roll themselves. In order to reposition while in bed, staff must reposition her. Therefore, the mattress with the built-in foam bolsters would be sufficient to protect safety while sleeping and not be restrictive. The new mattress has been ordered and is scheduled to be delivered 12/24/24. The orders for these changes will be kept in the record and will be reviewed at least annually or sooner if the individual¿s needs should change. The assessments and the ISPs for these individuals will be updated to reflect the changes in sleeping arrangements and the reasoning for the changes. The sleeping arrangements for all other individuals will be reviewed to ensure the health and safety of the individuals and no mechanical restraints are being used. If such a device is found, the situation will be reviewed and the team, along with the individual¿s PCP will determine what is the most appropriate and safest sleeping arrangement for that individual which does not create a mechanical restraint situation. An order will be obtained from the PCP and the assessment and ISP will be updated to reflect the change and the need for the change in sleeping arrangements. 12/31/2024 Implemented
SIN-00237598 Renewal 12/19/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.171On 12/20/23, the following expired food items were observed in the basement of the home at 10:40 AM: Navy beans with a best-buy date of 8/4/22; classic roast decaf coffee with a best-if-used by date of 3/3/23; Great Value pork seasoning mix with a best-if-used by date of 7/18/23; Premier Party cheesy tuna pasta and cheese sauce with a best-by date of 3/1/23; and Campbells vegetable soup with an expiration date of 9/2/22.Food shall be protected from contamination while being stored, prepared, transported and served. The food items which were found to be expired during the inspection on 12/20/23 were items which had been donated by family of the individuals and were not items generally used on the menus or in accordance with prescribed diets. The expired food items were immediately thrown out and all other items checked for expiration dates. 02/29/2024 Implemented
6400.181(e)(12)Individual #1's most recent assessment completed on 10/25/23, did not address or provide any recommendations for specific areas of training, programming, and services.The assessment must include the following information: Recommendations for specific areas of training, programming and services. For this individual, the assessment has been reviewed again and recommendations included for areas of training, programming, and/or services for the upcoming year. 02/16/2024 Implemented
SIN-00217756 Renewal 01/18/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.142(a)The most recent dental examination for individual #1 was completed 6/16/21.An individual 17 years of age or younger shall have a dental examination performed by a licensed dentist semiannually. An individual 18 years of age or older shall have a dental examination performed by a licensed dentist annually. At this point it is too late to bring the dental appointment into compliance. However, the issue was discovered prior to the survey and the earliest available appointment was scheduled. Individual #1 saw the dentist on 1/23/23. An appointment has already been scheduled for next year, 1/24/24 at 1PM. The records of all other individuals have been reviewed and any dental compliance issues were noted and appointments scheduled for the earliest available. 01/23/2023 Implemented
SIN-00199895 Renewal 02/10/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.181(e)(1)Individual #1's assessment completed 1/4/2022 did not include functional strengths, needs, and preferences of the individual.The assessment must include the following information: Functional strengths, needs and preferences of the individual.For this individual, an updated list of her functional strengths, needs, and preferences has been included with her annual assessment. 03/04/2022 Implemented
6400.181(e)(2)Individual #1's assessment completed on 1/4/2022 did not include likes, dislikes, and interests of the individual.The assessment must include the following information: The likes, dislikes and interest of the individual. For this individual, an updated list of her likes, dislikes, and interests has been included with her annual assessment. 03/04/2022 Implemented
SIN-00185562 Renewal 03/11/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(d)The evacuation time for the fire drill held 09/28/2020 was 8 minutes and 59 seconds. The home does not have extended evacuation time [Repeat violation 12/18/2019, et. al.] Individuals shall be able to evacuate the entire building, or to a fire safe area designated in writing within the past year by a fire safety expert, within 2 1/2 minutes or within the period of time specified in writing within the past year by a fire safety expert. The fire safety expert may not be an employe of the home or agency. Staff assistance shall be provided to an individual only if staff persons are always present at the home while the individual is at the home. During this particular fire drill, which was done as a sleep drill, one of the individuals was refusing to get out of bed and exit the residence. This individual also has ambulation difficulties which prevents her from walking quickly so by the time she did get out of bed and walk out of the house, the drill had far exceeded the allowed time. This individual uses a cane for ambulation during short distances and a wheelchair for long distances. For this particular individual, and any other individual who has ambulation concerns which may cause difficulty moving quickly and safely during a fire drill, staff have been directed to use a wheelchair to assist them to exit quickly. The fire drill procedure will be reviewed with the residential manager of the Arch Street residence, paying close attention to when the time is supposed to start and end during a drill. This will also be reviewed with the managers from the other sites. [Documentation of fire drill procedure review with residential manager shall be kept. The agency shall use assistive devices for ambulation (canes, walkers, wheelchairs) for individuals whom have a current written order from a physician for such devices. DPOC by HDKP, HSLS, on 5/4/2021]. 04/30/2021 Implemented
SIN-00168311 Renewal 12/18/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.181(e)(6)Individual #1's assessment, dated 6/15/19, does not address the individual's ability to use or avoid poisonous materials. This section of the assessment was blank.The assessment must include the following information: The individual's ability to safely use or avoid poisonous materials, when in the presence of poisonous materials. The assessment for this individual will be reviewed and the area concerning supervision around poisons will be completed with the level of supervision required by the individual. The assessments for all other individuals will be reviewed to ensure that they are completed thoroughly. A training will be completed with the staff by 1/31/2020 on how to properly complete an annual assessment. Once the assessments are complete the program specialist is to review the assessment for thoroughness and if any areas are incomplete, they¿re to be returned immediately to the staff to complete them correctly. The Program Specialist Supervisor will monitor 25% of the assessments monthly to ensure that they have been completed correctly and thoroughly. The program specialist and the Program Specialist Supervisor will be responsible for this plan of correction. 02/29/2020 Implemented
6400.181(e)(14)Individual #1's assessment, dated 6/15/19, does not address the individual's knowledge of water safety or ability to swim. This section of the assessment states "n/a."The assessment must include the following information:The individual's progress over the last 365 calendar days and current level in the following areas: The individual's knowledge of water safety and ability to swim. The assessment for this individual will be reviewed and the area concerning swimming will be completed with the level of supervision required by the individual. The assessments for all other individuals will be reviewed to ensure that they are completed thoroughly. A training will be completed with the staff by 1/31/2020 on how to properly complete an annual assessment. Once the assessments are complete the program specialist is to review the assessment for thoroughness and if any areas are incomplete, they¿re to be returned immediately to the staff to complete them correctly. The Program Specialist Supervisor will monitor 25% of the assessments monthly to ensure that they have been completed correctly and thoroughly. The program specialist and the Program Specialist Supervisor will be responsible for this plan of correction. 02/29/2020 Implemented
6400.166(b)Valproic Acid 250 mg/5 mL with the instructions "give 5 mL by mouth every 8 hours" prescribed to Individual #1 was not initialed as administered at 8:00 AM on 8/9/19, 8/13/19, 8/14/19, 8/15/19, 8/16/19, 8/23/19, and 8/27/19. Atorvastatin 40 mg with the instructions "take 1 tablet crushed in applesauce every morning" prescribed to Individual #1 was not initialed as administered at 8:00 AM on 10/31/19. [Repeat violation 1/7/19 et. al.]The information in subsection (a)(12) and (13) shall be recorded in the medication record at the time the medication is administered.The staff member responsible for administering the medication to this individual on the date of the missing documentation will be retrained on the proper medication administration procedure, including signing and initialing the medication administration record. This staff will then be monitored one time per month over the next three months to ensure that they are continuing to follow the correct medication administration procedure. In the future, any staff member who commits a medication error will be retrained and then monitored at least one time per month over the next three months. The medication coordinator, nursing staff, program specialists, and residential managers will complete the retraining and monitoring. The medication coordinator will be responsible for this corrective action and will review 25% of the medication administration records each month to ensure that the medication administration records are being documented correctly. 02/29/2020 Implemented
SIN-00148615 Renewal 01/07/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(e)The most recent fire drill conducted during sleeping hours was 3/7/18.A fire drill shall be held during sleeping hours at least every 6 months. The fire drill form has been revised to allow the person conducting the drill to mark if it was conducted while the individuals were awake or sleeping. A schedule has been developed for when the sleep drills will be conducted and this will be followed by all residential sites. All fire drills are to be completed by the 15th of each month, allowing for adequate time remaining in the month if a drill needs to be repeated. A copy of each fire drill will be sent to the main office and the administrative assistant will review the drill forms to determine that the schedule has been followed and the sleep drills have been conducted within the appropriate timeframe. If the administrative assistant finds that a sleep drill was not done by the 15th day of the scheduled month, the residential manager and the program director will be notified and the residential manager must conduct the sleep drill again. The administrative assistant will be responsible for monitoring this plan of correction and keeping a copy of all residential fire drills. [NOT ACCEPTABLE, unannounced fire drills must be completed throughout the each month, and not by the 15th of each month. Immediately, the CEO or designee shall develop and implement policies and procedures to ensure unannounced fire drills are conducted monthly as required including during sleeping hours. Prior to conducting fire drills, the CEO or designee shall train all staff persons responsible for conducting fire drills of the requirements as per 6400.112(a)-(I) and the aforementioned policies and procedures to ensure fire drills are conducted and documented as required. Upon completion of all fire drills for at least one year, the CEO or designee shall audit all fire drill records to ensure fire drills are conducted and documented as required. Documentation of audits shall be kept. (DPOC by AES,HSLS on 2/4/19)] 02/22/2019 Implemented
6400.163(c)Individual #1's psychiatric medication reviews completed 1/29/18 and 8/6/18 did not include reason the medications were prescribed or the need continue the medications. If a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a review with documentation by a licensed physician at least every 3 months that includes the reason for prescribing the medication, the need to continue the medication and the necessary dosage.For this individual the psychiatrist will be contacted for a review of prescribed psychiatric medications and then complete in its entirety the psychiatric medication review form. For this and all individuals, the psychiatric medication review form has been revised to include the required components (medication, dose, reason for the medication, and the need to continue). The residential managers were trained on 1/9/19 on how to assist the medical professional in completing this form. The residential managers will review the form prior to leaving the appointment to ensure that all necessary information has been included on the psychiatric medication review form. The Waiver Supervisor will be responsible for overseeing this plan of correction and will keep copies of all psychiatric medication review forms in a binder and sign each form once she has reviewed it. 02/22/2019 Implemented
SIN-00107482 Renewal 01/26/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.181(e)(5)The assessment completed 1/5/17 for Individual #1 did not include the ability to self-administer medications.The assessment must include the following information:  The individual's ability to self-administer medications.The Program Specialist added the required information to the assessment while the inspector was on-site. Each assessment will be reviewed by the Program Specialist to ensure that it is complete. The Program Specialist will utilize a listing of all required topics for assessment from the regulations to compare with a completed assessment. The review of all assessments will be conducted to ensure all are complete. The target date for the review is 2/28/2017. The Program Specialists will be trained by 2/28/2017. [At least quarterly for 1 year, the Director shall review a 25% sample of completed assessments to ensure individuals are assessed in all require areas. (AS 2/23/17)] 02/16/2017 Implemented
6400.181(e)(12)The assessment completed 1/5/17 for Individual #1 did not include recommendations for specific areas of training, programming and services.The assessment must include the following information: Recommendations for specific areas of training, programming and services. The Program Specialist added recommendations to the assessment regarding training, programming and services. Each new admission assessment as well as annual assessments will be reviewed by the Program Specialist and will include recommendations for the specific areas. All assessments will be reviewed to ensure the recommendations have been completed. The Acting Director will train the Program Specialists by 2/28/2017.[At least quarterly for 1 year, the Director shall review a 25% sample of completed assessments to ensure individuals are assessed in all require areas. (AS 2/23/17)] 02/16/2017 Implemented
SIN-00073437 Renewal 01/13/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(7)Individual #1's record, admission date 11/5/14, did not include a gynecological examination. The physical examination shall include: A gynecological examination including a breast examination and a Pap test for women 18 years of age or older, unless there is documentation from a licensed physician recommending no or less frequent gynecological examinations. A prior admission checklist has been developed and will be used for any new admissions (see attached). [Gynegological examination has been completed for Individual #1. (CHG 1/30/15)] 01/25/2015 Implemented
6400.213(3)Individual #1's most recent physical examination that was in his/her record was dated 9/12/13. Individual #1 had a physical examination on 9/15/14; however, documentation of the examination was not in the record.Each individual's record must include the following information: Physical examinations. A prior admission checklist has been developed and will be used for any new admissions (see attached). [Documentation of a timely physical examination has been obtained. The CEO or designee will check the content of all resident records to ensure they contain all required documentation including documentation of a timely physical examination within 30 days of receipt of the plan of correction. (CHG 1/30/15)] 01/25/2015 Implemented
SIN-00057495 Renewal 03/04/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.44(b)(3)For the program specialist's job description form, the items regarding the ISP are missing. (b) The program specialist shall be responsible for the following: (3) Participating in the development of the ISP, ISP annual update and ISP revision. Program Specialists job description has been rewritten and program specialists have been trained. Quality Management Team will review job descriptions annually. 03/04/2014 Implemented
SIN-00128212 Renewal 01/23/2018 Compliant - Finalized
SIN-00107315 Unannounced Monitoring 11/03/2016 Compliant - Finalized
SIN-00104220 Unannounced Monitoring 11/03/2016 Compliant - Finalized