INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on May 16, 2024 by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection P9466701 Keep It Green was found to not be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. Therefore, deficiencies were identified during this inspection and a plan of correction is required.
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Plan of Correction
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§ 717.23 LICENSURE Notification of decision to end residency
§ 717.23. Notification of decision to end residency.
(a) The licensee shall notify the resident in writing of a decision to end residency. The notice must include the reason and a timeframe for ending residency.
(b) The resident shall have an opportunity to request the licensee reconsider a decision to end residency before the decision to end residency takes effect.
(c) The resident may decide to end residency without providing a reason to the licensee.
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Observations
Based on a review of resident records, the recovery house failed to provide a written notification to the resident stating the decision to end residency.
Findings:
In 2 out of 3 resident discharge files the recovery house failed to provide a written notification to the resident stating the decision to end residency.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
Effective 5/23/2024, a supply of Notice to End Residency Forms will be kept on location at each residence so that if a decision to end residency happens after office hours staff has access to a form to fill in reason and timeframe and will be turned in for inclusion in resident's file. The Director shall audit resident's chart prior to filing with inactive files to be sure the form is present. |