Observations
Based on applicable client records reviewed, the facility failed to provide documentation of the project notifying the client, in writing, of a decision to involuntarily terminate the client's treatment in one of one records.
Client #10 was admitted to inpatient on June 4, 2025 and discharged on June 25, 2025. There was no documentation in the client record notifying the client in writing of termination from the project.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
The Clinical Program Manager will create a form to be completed in KIPU by the staff discharging the client, typically behavioral health technician staff members. It will include the reasons for the discharge and how to appeal the discharge if interested. They will be given a copy of this form at discharge. The Clinical Program Manager will educate staff members on this new process and will monitor that it is completed monthly with the clinical chart audits. |