Observations
Based on a review of the outpatient client records, the facility failed to ensure that individualized treatment plans include written documentation of type and frequency of treatment and rehabilitation services.
Client #1 was admitted on April 6, 2026 and was still active at the time of the incident. A treatment plan developed on April 7, 2026, did not specify the frequency of individual treatment.
This finding was reviewed with facility staff during the incident investigation process.
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Plan of Correction
On 4/20, ED Kaitlyn Vaccola who was covering from Stroudsburg OP reviewed frequency requirements for all levels of care, the importance of making them indicated based on client need and a reminder to add a frequency for every service identified on the plan.
4/21, clinical supervisor will check frequency section if tx plan when reviewing/signing and unsign and return any tx plan missing frequency or appropriate service. |