INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on July 16, 2024 by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection HH5F6701 79 Blueridge. Llc was found to not be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. Therefore, deficiencies were identified during this inspection and a plan of correction is required.
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Plan of Correction
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§ 717.23 LICENSURE Notification of decision to end residency
§ 717.23. Notification of decision to end residency.
(a) The licensee shall notify the resident in writing of a decision to end residency. The notice must include the reason and a timeframe for ending residency.
(b) The resident shall have an opportunity to request the licensee reconsider a decision to end residency before the decision to end residency takes effect.
(c) The resident may decide to end residency without providing a reason to the licensee.
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Observations
Based on a review of resident records, the recovery house failed to provide a written notification to the resident stating the decision to end residency.
Finding:
In 2 out of 2 resident discharge records the recovery house failed to provide a written notification to the resident stating the decision to end residency.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
8/15/2024: On 8/13/2024 a notification of decision to end residency was implemented. When the recovery house makes a decision to end residency a written notification will be provided to the resident and one will be maintained in resident record. It will also state resident has the right to ask for reconsideration. The house manager will monitor all discharges of non compliant for this form on a biweekly basis. |