Observations
Based on applicable client records reviewed, the facility failed to provide follow-up contact in accordance with the facility policy and procedure manual in two of five applicable records. The policy and procedure manual indicates follow-up contact must be made within seven days after discharge.
Client #9 was admitted to detox on October 3, 2023 and was discharged on October 6, 2023. Follow-up contact was due to be completed no later than October 13, 2023, however, this was not completed until November 1, 2023.
Client #12 was admitted to detox on August 10, 2023 and was discharged on August 15, 2023. Follow-up contact was due to be completed no later than August 22, 2023, however, this was not completed until September 11, 2023.
This finding was reviewed with facility staff during the licensing process.
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Plan of Correction
Facility Director and Clinical Supervisor issued a policy memo on 12.13.23 to Restore Clinical Staff which reviews policy 709.63 requirements. Memo was reviewed by all clinical team members and acknowledged by signature and date.
Memo was also reviewed at Clinical Team meeting on (12/18/23).
Clinical Supervisor is responsible for ensuring plan is followed and will complete weekly audit of charts for those clients discharged in the past 7 days.
Clinical staff failure to comply with policy would result in disciplinary action. |