| 6400.141(c)(6) | Tuberculin skin testing with negative results were not completed every 2 years for individual 1. The last test was conducted on 06/25/2020 and not completed again until 07/06/2022. | The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years for individuals 1 year of age or older; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. | Medical Assistants will review MAR¿s prior to all scheduled Annual Physical Examinations for the requirement to conduct tuberculin testing, EKG, and/or prostate examinations. |
03/10/2023
| Implemented |
| 6400.181(a) | Individual 1 did not have an annual assessment completed annually. The previous assessment was completed 01/20/2021 and current assessment was not completed until 03/14/2022. The most recent assessment provided dated in March 2022 was not updated with revisions from the January 2021 assessment. | Each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the residential home and an updated assessment annually thereafter. The initial assessment must include an assessment of adaptive behavior and level of skills completed within 6 months prior to admission to the residential home. | Case Manager responsible no longer works at Woods. Assessment timelines, expectations and the importance of meeting regulatory requirements will be reviewed at the next Case Management meeting. |
03/31/2023
| Implemented |