This report is a result of an on-site inspection conducted for the approval to use a narcotic agent, specifically methadone and buprenorphine, in the treatment of narcotic addiction. This inspection was conducted on March 21-22, 2011 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Innovative Recovery Solutions, Inc was found not to be in compliance with the applicable chapters of 4 PA Code and 28 PA Code which pertain to the facility. The following deficiencies were identified during this inspection and a plan of correction is due on April 12, 2011.
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Plan of Correction
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Observations
Based on a review of patient records and an interview with the project/facility director, the facility failed to document an average of 2.5 hours of psychotherapy per month during the patient's first two years, in one of two patient records, as required.
The findings include:
Seven patient records were reviewed on March 21-22, 2011. Two patient records were reviewed for the completion of an average of 2.5 psychotherapy hours per month. Per regulation, a narcotic treatment program shall provide each patient an average of 2.5 hours of psychotherapy per month during the patient 's first 2 years, 1 hour of which shall be individual psychotherapy. Additional psychotherapy shall be provided as dictated by ongoing assessment of the patient. The facility failed to document an average of 2.5 hours of psychotherapy per month in patient record # 4.
Patient # 4 was admitted into treatment on October 3, 2010. The patient was a transfer from another narcotic treatment program. The patient had been in continuous treatment since June, 2010. The patient attended 1 hour of psychotherapy in December 2010, 0 hours of psychotherapy in January and 2.75 hours of psychotherapy in February, 2011. Patient # 4 attended an average of 1.25 hours of psychotherapy per month.
The project/facility director was interviewed on March 22, 2011 and confirmed patient # 4 did not attend an average of 2.5 psychotherapy hours per month.
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Plan of Correction
Facility Director will provide training related to counseling requirements for each patient and will ensure that each counselor is using all methods available to assist patients in their counseling attendance which include: appointment cards, reminder flags, and treatment contracts. Facility Director will monitor for on-going compliance. Training will be completed by 4/30/2011. |