Inspection Report
Complaint Investigation
Deficiencies: 6
May 13, 2024
Visit Reason
State-compiled facility profile showing 1 complaint inspection from 2024 with deficiency history
Findings
Deficiencies were found during the unannounced on-site State Complaint survey conducted on May 13, 2024, including failures in patient psychological needs assessment, care plan authentication by physicians, and proper discharge orders.
Complaint Details
Deficiencies were found during the unannounced on-site State Complaint survey conducted on May 13, 2024.
Deficiencies (6)
| Description |
|---|
| R9-10-607. Admission B. At the time of admission, a physician or registered nurse shall: 1. Assess a patient's medical, social, nutritional, and psychological needs; and - Failure to ensure that a patient's psychological needs were appropriately assessed at admission for 5 out of 13 patients reviewed. |
| R9-10-608. Care Plan C. An administrator shall ensure that: 3. A patient ' s physician authenticates the care plan with a signature within 14 calendar days after the care plan is initially developed and whenever the care plan is reviewed or updated. - Failure to ensure care plans were authenticated with physician signatures within fourteen days for 6 out of 13 patients reviewed. |
| R9-10-611. Medical Records C. An administrator shall ensure that a patient ' s medical record contains: 9. Orders; - Failure to ensure discharge orders were written by a physician and entered into the medical record for 8 out of 13 patients reviewed. |
| R9-10-607. Admission B. At the time of admission, a physician or registered nurse shall: 1. Assess a patient's medical, social, nutritional, and psychological needs; and |
| R9-10-608. Care Plan C. An administrator shall ensure that: 3. A patient ' s physician authenticates the care plan with a signature within 14 calendar days after the care plan is initially developed and whenever the care plan is reviewed or updated. |
| R9-10-611. Medical Records C. An administrator shall ensure that a patient ' s medical record contains: 9. Orders; |
Report Facts
Inspections on page: 1
Total Deficiencies: 6
Complaint Inspections: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Megan Foster | LCSW | Named in complaint inspection summary |
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