Observations
The facility failed to provide documentation of a patient grievance filed on March 28, 2016 by Patient #1. The grievance document was unable to be located during the complaint investigation on June 6, 2016. In addition, the facility failed to utilize the grievance procedure of the project director scheduling a grievance hearing within five working days.
These findings were reviewed with facility staff during the complaint investigation.
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Plan of Correction
All grievnaces will be collected at the reception desk. Clinical Supervisor will collect them daily from reception and record them on schedule board in reception. Clinical Supervisor will then place patient on hold via Tower in order to schedule the grievance ensuring that it is held within 5 days of filing. Any grievance that is recinded by the patient will be noted on the form and the form retained in grievnace binder by the Facility Director. Following grievance hearing, a copy of the grievance along with the resolution will be given to the FAcility Director to be retained in the grievance binder. This process is effective 6/13/16. Facility Director will review the binder monthly to ensure that proper documentation is completed and time frames are being followed. |