Observations
Based on a physical plant inspection, the facility failed to ensure that all hard copy patient records were kept in locked storage containers. Client records were observed to be stored in boxes inside a storage closet. This closet was also used for storage of snacks and toilet paper.
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Plan of Correction
The Office Manager will remove and organize all paper charts to be sent to Iron Mountain by November 15, 2024. In the interim, these files will be placed in a locked filing cabinet and will be placed under lock and key in the closet (No longer a storage closet). BHAs and other support staff will not have access. Any supplies that have been in this closet have been properly relocated in the Common Area and the BHA office. As of April 2024, WDR York OP implemented electronic medical records.
through the use of Best Notes. All client charts are now available in a secure online format. The Regional Risk Manager will ensure the above action items are completed by the end of each month in a timely manner. Additionally, they will keep a record of these monthly safety walkthrough sheets, which include the securing and confidentiality of client records. These reports will be submitted to the Regional and Facility Director. |