INITIAL COMMENTS
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This report is a result of a recovery house complaint investigation conducted on May 7, 2024, by staff from the Bureau of Program Licensure. Based on the findings of the complaint investigation, 1IB26701 TNH Recovery House was found not to be in compliance with the applicable chapters of 28 PA Code, Chapter 717, which pertains to the recovery house. Therefore, deficiencies were identified during the investigation and a plan of correction is required.
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Plan of Correction
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§ 717.24 LICENSURE Medication control and self-administration
§ 717.24. Medication control and self-administration. The licensee shall develop and implement written policies and procedures on the use of prescription and over-the-counter medications by residents, which must include:
(1) Self-administration of medication for residents who take medication.
(2) Safe storage of medication by the drug and alcohol recovery house and residents and procedures to address loss, theft, abandonment or misuse of medications. The policy must provide that controlled substances stored at the drug and alcohol recovery house will be kept in a locked container.
(3) Safe disposal of unused, expired or abandoned medication, in accordance with State and Federal regulations.
(4) Emergency procedures if an adverse medication reaction or overdose occurs on premises. The licensee shall have and make available overdose reversal medication on the premises of the drug and alcohol recovery house at all times.
(5) Prohibition on sharing prescription medication.
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Observations
Based on the findings during the phone call inteview, the recovery house failed to follow procedures for safe storage of medication to address theft or misuse of medications. Resident was not getting correct dose of medication.
These findings were reviewed with the recovery house director during phone interview.
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Plan of Correction
TNH Sober Living will ensure that correct dose of any secured medication listed in each resident's file will be supervised and self administered as prescribed.
The Resident Lead will review and update medication log in the One Step EMR at each medication dispensing interval.
The District Manager and House Manager will periodically review the med log in the One Step EMR beginning 5.9.24, and onward, to ensure accountability.
The Resident Lead will request that resident's report any medication changes immediately to remain in compliance with medication policy.
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