Observations
Based on a review of documentation contained in a client record, the facility failed to notify the client, in writing, of a decision to involuntarily terminate the client's treatment at the project, in one of one client records.
The findings include:
Information contained in one client record was reviewed on November 19, 2012. The information reviewed was in regards to the client being involuntarily terminated from treatment at the project. The facility failed to notify the client, in writing, of a decision to involuntarily terminate the client's treatment at the project, in client record # 1.
Client # 1 was admitted into treatment on September 11, 2012 and was involuntarily terminated from the project on September 14, 2012. The termination notification was completed by the client and was not completed by facility staff. The client was not provided with written notification from facility staff as to the reasons for his involuntary termination.
A telephone interview was conducted with the facility director on November 19, 2012 at which time the aforementioned information was confirmed.
|
Plan of Correction
The Clinical Managers of the Adult Inpatient Programs will provide staff training on all discharge requirements with special emphasis on the Termination of Treatment documentation, including that it must be completed by staff. The Director of Adult Inpatient Programs will be responsible to see that this training and the documentation thereof will be completed no later than 1/11/13. Termination of Treatment forms will be reviewed on an on-going basis by the Medical Records Department and any issues will be reported to and addressed by the Director of Inpatient Programs immediately. |