Observations
Based three of three applicable discharged resident records reviewed, the facility failed to provide notification to the emergency contact stating the resident ' s decision to end residency or not returning to the drug and alcohol recovery house as expected.Resident #7 was admitted on June 21, 2025, and was discharged August 15, 2025. There was not a notification to the emergency contact provided in the resident record.Resident #8 was admitted on July 15, 2025, and discharged July 20, 2025. There was not a notification to the emergency contact provided in the resident record.Resident #9 was admitted on June 25, 2025, and discharged July 30, 2025. There was not a notification to the emergency contact provided in the resident record.These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
The Recovery House Manager will meet with staff to go over policies and procedures regarding the notification of emergency contact if a resident ends residency early or unsuccessfully. The staff will notify the emergency contact by phone within 12 hours of the unsuccessful discharge or AWOL. A note will then be written and placed in the resident's chart.
The Recovery House Manager will audit charts on a quarterly basis to ensure that the staff are documenting that they had contacted, by phone, the emergency contact within 12 hours of an unsuccessful discharge or AWOL. |