Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.64(f) | On 3/27/2024 at 9:57am, 2 trash receptacles were observed in front of the home with so much trash the lids could not be closed. There was also a mattress, a few boxes, and trash bags on the grass. | Trash outside the home shall be kept in closed receptacles that prevent the penetration of insects and rodents. | The supervisor onsite immediately discussed proper trash disposal with the DSPs on 3/27 and altered the take out schedule to the night before to be onsite when garbage is being taken out. On 5/9, the regulations surrounding outdoor trash receptacles was discussed at the Thursday leadership meeting including the regulation, how to properly place out trash, and when to contact a director for large or bulky items that need special handling. Supervisors were instructed to have a list of all outdoor trashcan order requests for the following meeting on 5/16. |
05/09/2024
| Implemented |
6400.18(b)(2) | Individual #1 had 4 medications that were not administered as prescribed, as reported by the agency via Enterprise Incident Management (EIM) #9385778. The incident was discovered on 3/7/2024 at approximately 8:00 AM, but was not reported to the Department's information management system until 3/22/2024 at approximately 12:22 PM. This exceeds the 72-hour reporting requirement. Individual #2 was not administered their prescribed Aviane tablet birth control on 3/9/2024, 3/10/2024, and 3/11/2024. The failure to administer this prescribed medication was not reported to the Department's information management system as of 3/27/24. Individual #3 was not administered a dose of Alendronate tablet 70mg on 3/9/2024 at 8:00am. The failure to administer this prescribed medication was not reported to the Department's information management system as of 3/27/24. | The home shall report the following incidents, alleged incidents and suspected incidents through the Department's information management system or on a form specified by the Department within 72 hours of discovery by a staff person:
A medication error as specified in § 6400.166 (relating to medication errors), if the medication was ordered by a health care practitioner. | The MARs of the site were reviewed by a Med Trainer on 4/9/24 and no medication errors were discovered. A monthly MAR and medication review checklist will be developed for the Med Trainers and Nurse who do onsite reviews no later than 5/10/24 to be implemented immediately in order to standardize the review process. Supervisors will be trained on the medication review checklist and proper reporting of med errors on 5/16/24. |
05/10/2024
| Implemented |
6400.163(h) | On 3/27/2024, Individual #1's medication Acetic Acid solution 2% was expired as of 12/2023 and not disposed in accordance with Federal and state statutes and regulations. The agency's disposal policy does not indicate the specific procedures staff are to use when disposing of expired medications. On 3/27/24 Individual #2 had the following expired medications on site and not disposed in accordance with Federal and state statutes and regulations.: Mupirocin Ointment USP 2% expired 8/2023 and Hydrocortisone Cream 2.5% expired 10/2023. There was also an OtiCare kit (hearing aid cleaning kit) expired 8/2009. The agency's disposal policy does not indicate the specific procedures staff are to use when disposing of expired medications. | Prescription medications that are discontinued or expired shall be destroyed in a safe manner according to Federal and State statutes and regulations. | The clients medications onsite were reviewed on 4/9/24 by a Med Trainer. On 5/6/24, medications that were expired were discarded and documented on the individuals monthly MAR record. A monthly MAR and medication review checklist will be developed for the Med Trainers and Nurse who do onsite reviews no later than 5/10/24 to be implemented immediately in order to standardize the review process. Supervisors will be trained on the medication review checklist and proper reporting of med errors on 5/16/24. |
05/06/2024
| Implemented |
6400.165(e) | On 3/27/2024, Acetic Acid solution 2% was still on site but noted in the site communication log as being discontinued on 2/23/2024. The order received from the physician on 4/17/2024 noted the medication was discontinued on 2/5/2024. | Changes in medication may only be made in writing by the prescriber or, in the case of an emergency, an alternate prescriber, except for circumstances in which oral orders may be accepted by a health care professional who is licensed, certified or registered by the Department of State to accept oral orders. The individual's medication record shall be updated as soon as a written notice of the change is received. | On 4/9/24, a med trainer review all MARs at the site. Discontinued medications were noted and added to a spreadsheet for the agency nurse to contact the pharmacy. A monthly MAR and medication review checklist will be developed for the Med Trainers and Nurse who do onsite reviews no later than 5/10/24 to be implemented immediately in order to standardize the review process. |
04/09/2024
| Implemented |
6400.166(a)(4) | On 3/27/2024, Individual #1's March 2024 Medication Administration Record (MAR) did not include the prescribed medication Fiber Therapy Powder. | A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Name of medication. | On 4/9/24, a med trainer reviewed all MARs and medications onsite. All medications onsite were included in the MAR. A monthly MAR and medication review checklist will be developed for the Med Trainers and Nurse who do onsite reviews no later than 5/10/24 to be implemented immediately in order to standardize the review process. |
05/10/2024
| Implemented |
6400.166(a)(5) | On 3/27/2024, Individual #1's March 2024 Medication Administration Record (MAR) did not include the strength of the following medication: Fiber Therapy Powder. | A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Strength of medication. | On 4/9/24, a med trainer reviewed all MARs and medications onsite. All medications onsite were included in the MAR. A monthly MAR and medication review checklist will be developed for the Med Trainers and Nurse who do onsite reviews no later than 5/10/24 to be implemented immediately in order to standardize the review process. |
05/10/2024
| Implemented |
6400.166(a)(7) | On 3/27/2024, Individual #1's March 2024 Medication Administration Record (MAR) did not include the dose of the following prescribed medication: Fiber Therapy Powder. | A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Dose of medication. | On 4/9/24, a med trainer reviewed all MARs and medications onsite. All medications onsite were included in the MAR. A monthly MAR and medication review checklist will be developed for the Med Trainers and Nurse who do onsite reviews no later than 5/10/24 to be implemented immediately in order to standardize the review process. |
05/10/2024
| Implemented |
6400.166(a)(8) | On 3/27/2024, Individual #1's March 2024 Medication Administration Record (MAR) did not include the route of administration for the following prescribed medication: Fiber Therapy Powder. | A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Route of administration. | On 4/9/24, a med trainer reviewed all MARs and medications onsite. All medications onsite were included in the MAR. A monthly MAR and medication review checklist will be developed for the Med Trainers and Nurse who do onsite reviews no later than 5/10/24 to be implemented immediately in order to standardize the review process. |
05/10/2024
| Implemented |
6400.166(a)(9) | On 3/27/2024, Individual #1's March 2024 Medication Administration Record (MAR) did not include the frequency of administration for the following prescribed medication: Fiber Therapy Powder. | A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Frequency of administration. | On 4/9/24, a med trainer reviewed all MARs and medications onsite. All medications onsite were included in the MAR. A monthly MAR and medication review checklist will be developed for the Med Trainers and Nurse who do onsite reviews no later than 5/10/24 to be implemented immediately in order to standardize the review process. |
05/10/2024
| Implemented |
6400.166(d) | Individual #2 did not receive Aviane tablet birth control on 3/9/2024, 3/10/2024, and 3/11/2024, therefore this medication was not administered as prescribed. Individual #3 did not receive Alendronate tab 70mg 3/9/2024 at 8:00 AM, therefore this medication was not administered as prescribed. | The directions of the prescriber shall be followed. | On 4/9/24, a med trainer reviewed all MARs and medications onsite. All medications onsite were included in the MAR. A monthly MAR and medication review checklist will be developed for the Med Trainers and Nurse who do onsite reviews no later than 5/10/24 to be implemented immediately in order to standardize the review process. |
05/10/2024
| Implemented |
6400.167(a)(1) | Individual #1 had 4 medications that were not administered on 3/7/2024 at 8:00am: Atomoxetine, calcium, Lavetalol and multivitamin. Individual #2 was not administered Aviane tablet birth control on 3/9/2024, 3/10/2024, and 3/11/2024. Individual #3 was not administered Alendronate tablet 70mg on 3/9/2024 at 8:00am. | Medication errors include the following: Failure to administer a medication. | The MARs of the site were reviewed by a Med Trainer on 4/9/24 and no medication errors were discovered. A monthly MAR and medication review checklist will be developed for the Med Trainers and Nurse who do onsite reviews no later than 5/10/24 to be implemented immediately in order to standardize the review process. Supervisors will be trained on the medication review checklist and proper reporting of med errors on 5/16/24. |
04/09/2024
| Implemented |