| 6400.141(c)(4) | Individual #1 had a late annual vision screening. The individual had a vision screening appointment on 4/02/2024, then not again until 5/03/2025. | The physical examination shall include: Vision and hearing screening for individuals 18 years of age or older, as recommended by the physician. | The CTM, Care Team Manager, of the home was formally counseled on appointment compliance in regard to Regulation 6400.141(c)(4) by the Program Director (PD) of the home on the day of discovery. |
03/25/2026
| Implemented |
| 6400.166(a)(11) | The January 2026 medication administration record (MAR) for Individual #1 did not include a diagnosis or purpose for the medication haloperidol tab 5mg., to be administered 1 tablet by mouth once every day at 3 PM. | 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. | Non-compliant item on MAR was rectified on the day of discovery |
03/25/2026
| Implemented |