Observations Based on four of seven resident records reviewed, the facility failed to provide a consent to residency which must be signed by the resident within 24 hours.
Resident #1 was admitted on April 26, 2024, and is still a resident. There was not a consent to residency provided in the resident record.
Resident #5 was admitted on July 31, 2024, and discharged August 29, 2024. There was not a consent to residency provided in the resident record.
Resident #6 was admitted on October 10, 2024, and discharged January 21, 2025. There was not a consent to residency provided in the resident record.
Resident #7 was admitted on November 21, 2024, and discharged March 15, 2025. There was not a consent to residency 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 In an effort to address citation 717.22(b)(4), the following will be implemented:
Beginning on 6/2/2025, the House Manager will ensure that all GateHouse Transitional Housing staff are trained on completing the consent to residency with all new residents within 24 hours of their arrival. The signed consent to residency will be filed in the residents chart.
The House Manager will monitor this plan during monthly supervision. |