Observations
Based on a review of client records, the facility failed to allow clients the opportunity to request reconsideration of a facility's decision to terminate the client's treatment in one of one applicable client record reviewed.
Client #7 was admitted on October 10, 2023 and was administratively discharged on November 21, 2023. There was no documentation in the record indicating the client was given an opportunity to request reconsideration of being involuntarily discharged.
These findings were discussed with facility staff during the licensing process.
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Plan of Correction
The policy, Transition/Discharge 2.D.1 was revised/updated and now states: Administrative: Patient is discharged involuntarily at the request of the Treatment Team. Patient has the opportunity to request reconsideration of being involuntarily discharged. The Treatment Team will review the request and inform patient of final decision within 24 hours of the request. Documentation must clearly detail the circumstances. Documentation shall include all offers for treatment and the patient's acceptance or refusal of the offered treatment options. Patients should be provided with prescriptions, as appropriate, and a discharge medication reconciliation form. Follow-up appointments with post discharge provider(s) should be established, as appropriate and if possible. |