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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.72(a) | Two of the home's windows were missing window screens at the time of inspection: one window in the staff office and one window in the kitchen. As there were no screens available within the home that could be fit into these windows should they be opened, these windows were incapable of being securely screened when in use. | Windows, including windows in doors, shall be securely screened when windows or doors are open. | A work order was submitted for assessment/measurement of windows so screens can be purchased and installed. |
09/23/2024
| Implemented |
| 6400.112(d) | There was documentation of an extended evacuation time of 4 minutes and 30 seconds for this home, signed by a fire safety expert on 07/21/2024. This document was, however, missing two pieces of information required for the extended evacuation time to be enacted for the home: 1) Whether individuals should evacuate outside of the home or to a fire-safe area and 2) a statement attesting that the extended time (and fire-safe area) is based on the design and construction of the home and not on the needs of the individuals served. | 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. | Futures will work with respective local fire departments to ensure all components of the extended evacuation time are included in the letter. |
09/06/2024
| Implemented |
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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.82(f) | The hand soap for the bathroom was kept locked in a separate area away from the bathroom. | Each bathroom and toilet area that is used shall have a sink, wall mirror, soap, toilet paper, individual clean paper or cloth towels and trash receptacle. | Futures has transitioned to the use of Soft Soap for all community living arrangements as Of August 2, 2017. Within each community living arrangement there will be Soft Soap accessible in the bathroom and kitchen area. |
08/02/2017
| Implemented |
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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.33(a) | On June 2,2015 while staff was changing the dressing on Individual #1's left foot several worms/maggots fell to the floor upon removing the tube sock that covers the bandages. Staff 1,2 and3 stated that they never received training on the proper care of Individual #1's wounds. Staff neglected Individual #1 as they did not provide proper wound care. | An individual may not be neglected, abused, mistreated or subjected to corporal punishment. | All staff were trained on 6/16/15 on the following: risk factors of altered skin integrity-HCQU, Braden scale for predicting pressure risk sores, best practice guidelines - wound management in diabetic wounds, caring for sores/prevention and early treatment, 6/12-6/16 - skin and decubitus ulcer care by the HCQU, and 6/17 wound care changing, dressing, caring for wound by Guthrie home health. Program Specialist will be responsible to train all new staff on wound care. |
06/17/2015
| Implemented |
| 6400.162(a) | The Robert Packard Hospital Wound C are Center doctors prescribed and ordered medication to be mailed to the home of Individual #1 for her wound care. The medications that were used by staff were: Medi-Honey Cream, Aquacel gauze pads and Iodosorb 40 mg / 1.4 oz Iodine gel---none of these prescribed medications had a pharmaceutical label. | The original container for prescription medications shall be labeled with a pharmaceutical label that includes the individual's name, the name of the medication, the date the prescription was issued, the prescribed dose and the name of the prescribing physician. | All of the identified medications have been discontinued. The Program Specialist will be responsible for all medications, making sure they are in original containers, labeled with pharmaceutical labels that include the name of the individual, name of the medication, date it was prescribed, prescribed dose, and the name of the physician. The PS will monitor the medications at the home weekly to assure they are all labeled correctly. |
06/12/2015
| Implemented |
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