Observations
Based on a review of client records, the facility failed to ensure that the staff physician signed verbal orders in the client records within 24 hours as required by this regulation. The findings included: On October 20-22, 2014, an onsite licensing inspection and methadone monitoring was conducted and eight client records were reviewed. Two records contained documentation of verbal orders issued by the physician. Patient record # 1 had documentation of a verbal order being issued August 30, 2014 and signed by the physician September 2, 2014, and another issued September 16, 2014 and signed by the physician September 26, 2014. Patient record # 2 contained documentation of two different verbal orders signed by the physician more than 24 hours after being issued. A verbal order issued September 17, 2014 was signed by the physician on September 26, 2014 and another verbal order issued on September 20, 2014 was signed by the physician on September 26, 2014. This was discussed with facility staff during the inspection.
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Plan of Correction
This facility does not file electronically, a Plan of Correction is on file with the Department of Health. |