Observations
Based on the review of patient records and other information provided, the facility failed to have the counselor maintain a caseload of no more than five patients.
The findings include:
On December 28, 2010, an administrative review of the findings from the December 1 - 2, 2010, methadone monitoring revealed that the facility had a full-time clinical counselor who
maintained a caseload of nine patients. A full-time clinical supervisor may maintain no more than five patients on their caseload.
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Plan of Correction
On December 30, 2010, four clients were identified from the clinical supervisor's caseload by clinical supervisor and director; these four clients were assigned a new primary counselor.
Director reviewed current active caseload report as well as individual counselor caseloads to ensure compliance with client counselor caseload ratio exception prior to reassigning these four clients. All caseloads remain in compliance with the ratio exception.
Clinical supervisor's active caseload was reduced to five on December 30, 2010.
Director reviews caseloads of each counselor weekly as a result clinical supervisor's active caseload will not go above five active clients.
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