Observations
Based on a review of resident records, the recovery house failed to make at least one attempt to notify the resident ' s emergency contact in accordance with subsection (b) immediately and in no event more than 12 hours after the resident decides to end residency or does not return to the drug and alcohol recovery house as expected.
Findings:
In 3 out of 6 resident discharge records the recovery house failed to document that notification to emergency contact occurred.
These findings were reviewed with the recovery house staff during the licensing process
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Plan of Correction
In our weekly staff meeting on 9/17/24, the House Manager reviewed with staff the policy that a resident's emergency contact must be notified immediately, and no more than 12 hours after, a resident discharges or doesn't return to the recovery house as expected. We edited our Discharge Form to include a section where this is to be documented by the staff member working on the shift when the resident is determined to have left or not returned as expected. All Shane's House employees acknowledge that they understand the policy, know where to find the emergency contact information, and how to document making contact. |