INITIAL COMMENTS
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This report is a result of an off-site complaint investigation conducted on June 18-24, 2025, by staff from the Bureau of Program Licensure. Based on the findings of the off-site complaint investigation, Polaris Renewal Services Inc. Medmark Treatment was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility.
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Plan of Correction
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709.30 (1) LICENSURE Client rights
§ 709.30. Client rights.
The project shall develop written policies and procedures on client rights and document written acknowledgement by clients that they have been notified of those rights.
(1) A client receiving care or treatment under section 7 of the act (71 P. S. § 1690.107) shall retain civil rights and liberties except as provided by statute. No client may be deprived of a civil right solely by reason of treatment.
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Observations
Based on a review of the patient record and the Patient Rights, the facility failed to notify the patient that they may not be deprived of a civil right solely by reason of treatment.
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Plan of Correction
The MedMark Compliance and Policy team reviewed the deficiency found in the Patient Rights, and the facility will add to the Patient Rights no client may be deprived of a civil right solely by reason of treatment. The facility will review and notify active clients of the Patient Rights; commencing 08/15/2025. |
709.30 (3) LICENSURE Client rights
709.30. Client rights.
The project shall develop written policies and procedures on client rights and document written acknowledgement by clients that they have been notified of those rights.
(3) Clients have the right to inspect their own records. The project, facility or clinical director may temporarily remove portions of the records prior to the inspection by the client if the director determines that the information may be detrimental if presented to the client. Reasons for removing sections shall be documented in the record.
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Observations
Based on a review of the patient record and the Patient Rights, the facility failed to notify the patient that reasons for removing sections of the patient record, when the patient inspects their own record, shall be documented in the record.
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Plan of Correction
The MedMark Compliance and Policy team reviewed the deficiency found in the Patient Rights, and the facility will add to the Patient Rights reasons for removing sections of the patient record, when the patient inspects their own record, shall be documented in the record. The facility will review and notify active clients of the Patient Rights; commencing 08/15/2025. |