Observations
Based on a review of client records, the facility failed to contact the client's emergency contact after a AFA (against facility advice) discharge, as required by facility policy and regulation, in one of two client records.Client #1 was admitted on May 28, 2025 and discharged AFA on June 6, 2025. There was no documentation that the client's emergency contact was notified. These findings were reviewed with facility staff during the investigation process.
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Plan of Correction
The Clinical Director met with clinical and admin employees on 1/20/26 to review the expectation for completion of paperwork for clients who are discharged AFA. The staff was directed to make sure all data fields are completed in each document. The Clinical Director and the Aftercare Coordinator will review discharge paperwork to ensure we are documenting that we contacted the emergency contact. |