This report is a result of an on-site inspection conducted for the approval to use a narcotic agent, specifically buprenorphine, in the treatment of narcotic addiction. This inspection was conducted on December 3, 2010 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, New Perspectives ay White Deer Run was found not to be in compliance with the applicable chapters of 4 PA Code and 28 PA Code which pertain to the facility. The following deficiencies were identified during this inspection and a plan of correction is due on January 1, 2011.
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Plan of Correction
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Observations
Based on the review of patient records and a discussion with administrative staff, the facility failed to provided an evaluation of the historical data in five of seven patient records.
The findings include:
Seven records were reviewed December 3, 2010. Seven patient records were reviewed specifically for a psychosocial evaluation of the patient's historical data collected by staff.
Patient records # 1, 2, 3, 5, and 6 contained documentation that failed to include a composite picture or an evaluation of the collected historical data.
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Plan of Correction
The Nursing Coordinator will locate/provide additional training for the nursing staff regarding the composite picture or evaluation of the collected historical data.
A template will be initiated for ease of writing the evaluation, so all nursing staff will understand the information required.
Nursing Coordinator will engage in continued monitoring on an on-going basis with periodic monthly audits.
This plan will be in place by 2/01/2011. |