| 6400.113(c) | Individual #1's fire safety training did not include the content of the training. | A written record of fire safety training, including the content of the training and a list of the individuals attending, shall be kept. | Descriptive content detailing what individuals are instructed on during monthly fire drills was developed and will be distributed to all homes as a resource for staff completing the drill and instructing consumers |
09/05/2022
| Implemented |
| 6400.141(c)(11) | Individual #1's physical examination completed 6/17/2022 did not include an assessment of the individual's health maintenance needs. It was left blank. | The physical examination shall include: An assessment of the individual's health maintenance needs, medication regimen and the need for blood work at recommended intervals. | Physical exam will be returned to the physician's office for correction |
09/08/2022
| Implemented |
| 6400.166(a)(11) | Individual #1's July 2022 medication administration record did not include a diagnosis or purpose for the following medications: Aspirin Low 81mg EC tablet, Certavite/anti oxide tablet, Cimetidine 800mg tablet, Clopidogrel 75mg tablet, Docusate Sod 100mg capsule, Fluticasone 50mcg spray, Folic acid 1mg tablet, Furosemide 20mg tablet, Lacosamide 150mg tablet, Lamotrigine 100mg tablet, Latanoprost .005% solution, Levetiracetam 1000mg tablet, Levothyroxine 125mcg tablet, Myrbetriq 25mg tablet, Olanzapine 5mg tablet, Omeprazole 20mg tablet, Peg 3350 Powder, Prednisolone 1% Op sus, Refresh PM OP ointment, Systane solution, Valacyclovir 500mg tablet, Venlafaxine 37.5mg ER Capsule, Vitamin B-12 1000mcg tablet, and Vitamin D-3 25mcg tablet. | 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. | Program Specialists and Directors will review all Medication Administration Records to ensure that all medications prescribed have a diagnosis and reason for medication. Any found missing this information will be remediated by contacting the prescribing physician |
10/01/2022
| Implemented |