INITIAL COMMENTS
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This report is a result of an on-site complaint investigation conducted on October 5, 2016 by staff from the Division of Accountability and Program Improvement. Based on the findings of the investigation, the allegations against Discovery House were substantiated.
Therefore, the facility was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. The following deficiencies were identified during this inspection:
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Plan of Correction
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715.7(b) LICENSURE Dispensing or Administering Staffing
(b) Dispensing time shall be prorated for patient census. There shall be sufficient dispensing staff to ensure that all patients are medicated within 15 minutes of arrival at the dispensing area.
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Observations
Staff and patient interviews were conducted on October 5, 2016. The facility failed to ensure that all patients were medicated within 15 minutes of arrival at the dispensing area.
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Plan of Correction
Discovery House Pittsburgh recently received an upgrade to our computer system on 11/3/2016. This upgrade should put an end to the freezing and the slowness that we were experiencing.
We have been able to increase the number of nursing hours to ensure that three windows will be opened at all times and four dosing windows will be opened during busier dosing times.
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