This report is a result of an on-site inspection conducted for the approval to use a narcotic agent, specifically methadone and buprenorphine, in the treatment of narcotic addiction. This inspection was conducted on October 25-27, 2010 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Net Treatment Services, Inc. - Net Steps, was found not to be in compliance with the applicable chapters of 4 PA Code and 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 12, 2010.
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Plan of Correction
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Observations
Based on the review of patient records, the facility failed to complete the annual physical with a re-evaluation by the physician in three of six patient records reviewed.
The findings include:
Sixteen patient records were reviewed on October 27, 2010, six were required to provide documentation of annual physicals and re-evaluation of the patient. Of these records, three did not document the annual re-evaluation of the patient
Patient # 9 was admitted 6-16-05. The annual physical exam was completed on 6-18-10 by the Certified Physician Assistant (PAc), but did not include a re-evaluation by the physician.
Patient # 12 was admitted 5-28-09. The annual physical exam was completed on 5-18-10 by the Certified Physician Assistant (PAc), but did not include a re-evaluation by the physician.
Patient # 15 was admitted 6-12-08. The annual physical exam was completed on 6-12-10 by the Certified Physician Assistant (PAc), but did not include a re-evaluation by the physician.
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Plan of Correction
NET Steps has stopped using a Physicians Assistant as of July 2010 thus eliminating/correcting all of the citations.
NET Steps does not intend to use Physicians Assistants in the future. It is understood if Physician Assistants are used that the NTP Physican/Medical Director must document the evaluation & re-evaluation on each patient service rendered (by the PAc).
Medical Director and Facility Director are responsible for the employment/non employment of Physicians Assistants.
Time Line: POC is effective 11-24-10 |