D&A Facility Surveys

Pennsylvania Department of Drug & Alcohol Programs
Inspection Results

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PENNSYLVANIA CARE LLC DBA MINERS MEDICAL
90 EAST UNION STREET, SUITE 3
WILKES BARRE, PA 18701

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Survey conducted on 10/23/2014

INITIAL COMMENTS
This report is a result of an on-site licensure renewal inspection and monitoring inspection for the approval to use a narcotic agent, specifically methadone in the treatment of narcotic addiction. The inspection was conducted on October 22-23, 2014 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Pennsylvania Care LLC DBA Miners Medical was found not to be in compliance with the applicable chapters of 28 PA code which pertain to the facility. The following deficiency was identified during this inspection:	Plan of Correction
715.20(2) LICENSURE Patient transfers A narcotic treatment program shall develop written transfer policies and procedures which shall require that the narcotic treatment program transfer a patient to another narcotic treatment program for continued maintenance, detoxification or another treatment activity within 7 days of the request of the patient. (2) A narcotic treatment program shall maintain the confidentiality of patient records remaining in its possession after the transfer under § 715.11 (relating to confidentiality of patient records).
Observations Based on the review of patient records, the facility failed to transfer the required patient files in one of one patient record reviewed. The findings include: Ten patient records were reviewed on October 22-23, 2014. One patient record required documentation verifying that the facility transfered specific patient files to the receiving narcotic treatment program as part of the transfer process. Patient #10 was discharged as a transfer to another narcotic treatment facility 9/3/2014. The patient record did not include documentation of the transfer of files including the admission date, medical and psychosocial summaries, dosage level, urinalysis reports or summary, exception requests, and current status of the patient. These findings were reviewed with facility staff during the licensing process on October 23, 2014. This is a repeat citation. The facility was previously cited for noncompliance of this standard during the May 8-9, 2014 licensing inspection.	Plan of Correction The Facility Director reviewed the standard. Effective immediately the Facility Director or the Clinical Supervisor will review all transfer documents prior to the transfer. The Facility Director or the Clinical Supervisor will need to approve the transfer and sign off on the transfer checklist prior to the transfer of files. The Facility Director will train all staff of the procedures to transfer a patient by 11/18/14. A review of the transfer procedures will be conducted with new staff during orientation.