Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00205593 Unannounced Monitoring 05/24/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.144Individual #1 did not have BM's on 5/2/22, 5/3/22, 5/4/22, 5/5/22 and 5/19/22, 5/20/22, and 5/21/22. Individual is prescribed Milk of Magnesia "daily as needed for constipation". Staff are operating under the protocol that if there is no bowel movement, then Milk of Magnesia is given on the 3rd day. Individual #1 was not given this PRN medication on the 3rd day which she did not have a bowel movement.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. Medication error reports were filed for both omissions. The EIM report numbers were 9037390 and 9037398. PCP was contacted to clearly define constipation guidelines which were in line with the established protocol . The med label was updated as well as QuickMar. A copy of updated med label and MAR is attached. (20 and 21) A record review was completed by IFC nursing staff of all individuals who receive a PRN medication for constipation. Several others did not have specific days of administration clarified by doctor and instead a broad order for constipation. Clarification was sought for each individual to update record and QuickMAR systems. All orders have been received with updated MARs and Health Protocols. A copy of another individual updated during audit is attached (4). 06/10/2022 Implemented
6400.166(a)(11)Individual #1 is prescribed High Protein Liquid. There is no reason or diagnosis for this medication on May 2022 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.This omission has been corrected in QuickMar and is showing in current MAR. A copy of the MAR is attached (21). 06/10/2022 Implemented
SIN-00127766 Renewal 02/21/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.68(b)The water temperature in the main bathroom was 123.5F. Hot water temperatures in bathtubs and showers may not exceed 120°F. Water temperature is checked routinely with fire drills. This home had not previously registered high. The home is a new home for IFC and some variability is expected in performance over the initial months. The water temperature has been adjusted by maintenance staff. The water will continue to be monitored on an at least monthly basis in order to maintain compliance. Attachment 9 is a completed work order for the repairs and subsequent water temperature test. 03/28/2018 Implemented
6400.110(g)The smoke detector was inoperative in the basement. If a smoke detector or fire alarm is inoperative, notification for repair shall be made within 24 hours and repairs completed within 48 hours of the time the detector or alarm was found to be inoperative. The inoperable alarm was corrected on site in the presence of licensing representative through replacement of battery. The operability of all alarms is completed by responsible staff on an at least monthly basis. This will continue, but IFC has also replaced the alarms in the home with a hardwired system in order to reduce the risk of inoperable alarm without staff awareness. Attachments 10 represents a completed work order. Equipment was excess product from a previous project. 03/28/2018 Implemented
SIN-00223666 Renewal 04/25/2023 Compliant - Finalized
SIN-00168086 Renewal 07/21/2020 Compliant - Finalized