Observations
Based on a review of client records, the facility failed to assure that counseling services are provided according to the individual treatment and rehabilitation plan in five of seven client records. Client #1 was admitted to the outpatient level of care on March 22, 2023 and was active at the time of review. Client #1 ' s record contained a treatment and rehabilitation plan dated March 22, 2023 that indicated a frequency of service of 1.5 hours of group per week. No group sessions were documented between the dates of May 1, 2023 through May 26, 2023.Client #3 was admitted to the outpatient level of care on August 10, 2022 and was active at the time of review. Client #3 ' s record contained a treatment and rehabilitation plan dated February 10, 2023 that indicated a frequency of service of one individual session per month. No individual sessions were documented for the month of March, 2023. Client #4 was admitted to the outpatient level of care on December 28, 2022 and was discharged May 16, 2023. Client #4 ' s record contained a treatment and rehabilitation plan dated January 4, 2023 that indicated a frequency of service of one individual session per week. No individual sessions were documented between the dates of January 30, 2023 through February 17, 2023. Client #5 was admitted to the outpatient level of care on July 20, 2022 and was discharged May 22, 2023. Client #5 ' s record contained a treatment and rehabilitation plan dated November 20, 2022 that indicated a frequency of service of one individual session per month. No individual sessions were documented for the month of December, 2022. Client #6 was admitted to the outpatient level of care on July 13, 2022 and was discharged April 27, 2023. Client #6 ' s record contained a treatment and rehabilitation plan dated November 11, 2023 that indicated a frequency of service of one individual session per month. No individual session was documented for the month of December, 2022. These findings were reviewed with the facility staff during the licensing process.
|
Plan of Correction
Observation #1885 which took place on 5/31/2023 in the Greensburg office was discussed with all AAR staff in staff meeting on June 13, 2023 to ensure that all counseling services are provided in accordance with DDAP regs.
AAR treatment planning will be sure that counseling services match/follow the individual treatment and rehabilitation plan.
AAR Treatment Supervisor will review patient charts weekly for compliance accuracy.
AAR Clinical Supervisor will review treatment plan updates with Therapists to ensure accuracy for adherence to services rendered and documentation. |