INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection and methadone monitoring inspection conducted on June 23-24, 2022 by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings of the on-site inspection, New Directions Healthcare, LLC was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. The following deficiencies were identified during this inspection:
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Plan of Correction
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715.20(4) LICENSURE Patient transfers
A narcotic treatment program shall develop written transfer policies and procedures which shall require that the narcotic treatment program transfer a patient to another narcotic treatment program for continued maintenance, detoxification or another treatment activity within 7 days of the request of the patient.
(4) The receiving narcotic treatment program shall document in writing that it notified the transferring narcotic treatment program of the admission of the patient and the date of the initial dose given to the patient by the receiving narcotic treatment program.
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Observations
Based on one of two applicable patient records reviewed, the facility failed to provide, in writing, documentation that it notified the transferring narcotic treatment program of the admission of the patient and the date of the initial dose given to the patient by the receiving narcotic treatment program.
Patient # 4 was admitted on January 13, 2022 and was still active at the time of the inspection. There was no documentation in the patient record of the admission of the patient or initial dose given to the patient by the receiving treatment program.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
The Project Director shall ensure that a verification transfer is sent to the patients transferring clinic and shall include the date of admission and initial dose of methadone given by the receiving narcotic treatment program. All front desk staff were educated on this process and is included on NDHC admission checklist |