This report is a result of an onsite follow-up inspection regarding the plans of correction for the March 5 & 6, 2010 methadone monitoring. The follow-up inspection was conducted on September 27, 2010 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the onsite follow-up inspection, Habit OPCO, Inc. - Allentown was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. The following deficiencies were identified during this inspection and a plan of correction is due on December 1, 2010.
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Plan of Correction
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Observations
Based on the review of patient record documentation, the facility failed to ensure the physician document in the patient record the rationale for granting take home medication in two of two patient records.
The findings include:
Eighteen patient records were reviewed November 1-3, 2010. Two patient records were reviewed for take home medication documentation. Patient records # 8 and 9 did not contain documentation of the physician's rationale for granting the take home medication.
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Plan of Correction
The Program Director met with the Medical Director to review the regulation. The form used by the physician for approving or denying take home applications was revised on November 4, 2010 to clearly specify how the physician is expected to document his/her rationale for approval of take homes. The physician is now using the revised form.
The revision and the related regulation were discussed and explained at the staff meeting held on November 11, 2010.
The physician documentation of rationale will be reviewed for all take home applications that are approved between November 12, 2010 and January 12, 2011 to ensure that they are correct. The Program Director will be responsible for reviewing them. Any applications with incorrect documentation will be returned to the physician and will be reviewed by the Nurse Manager and physician together for corrections. |