Observations
Based on a review of seven client records, the facility failed to document treatment plan updates within the regulatory timeframe in 4 client records reviewed.Client #2580 was admitted on September 16, 2015 and was still active at the time of insepction. A treatment plan update was completed on May 22, 2019 and the next update was due no later than July 22, 2019, however an update was not completed until September 19, 2019. Client #2160 was admitted on June 28, 2018 and was still active at the time of inspection. A treatment plan update was created on May 31, 2019 and the next update was due no later than July 31, 2019, however no update was created until September 9, 2019. Client #1550 was admitted on March 24, 2010 and was still active at the time of inspection. A treatment plan update was completed on June 11, 2019 and the next update was due no later than August 11, 2019, however there was no update at the time of compliant investigation. Client #2508 was admitted on November 7, 2016 and was still active at the time of insepction. A treatment plan udpate was completed on June 27, 2019 and the next update was due no later than August 27, 2019, however the update was not completed until September 11, 2019.
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Plan of Correction
All staff received two full days of trainings regarding treatment plan writing, timelines, and how to create and maintain treatment plans on 1/9 and 1/10. Clinical Supervisor and Director Clinical Services will monitor compliance weekly effective 1/1/2020. |