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Based on record review and interview, the facility failed to provide psychiatric evaluations that included an inventory of the patient's assets in a descriptive, not interpretive fashion for 8 of 8 active sample patients (A, B, C, D, E, F, G, and H). This failure impairs the treatment team's ability to choose therapeutic treatment modalities which best utilize the patient's attributes.

Findings include:

A. Record review

1. Patient A's Psychiatric Evaluation dated 12/28/11 did not contain an inventory of patient assets.
2. Patient B's Psychiatric Evaluation dated 12/28/11 did not contain an inventory of patient assets.
3. Patient C's Psychiatric Evaluation dated 12/29/11 did not contain an inventory of patient assets.
4. Patient D's Psychiatric Evaluation dated 12/30/11 did not contain an inventory of patient assets.
5. Patient E's Psychiatric Evaluation dated 1/03/12 did not contain an inventory of patient assets.
6. Patient F's Psychiatric Evaluation dated 1/04/12 did not contain an inventory of patient assets.
7. Patient G's Psychiatric Evaluation dated 1/04/12 did not contain an inventory of patient assets.
8. Patient H's Psychiatric Evaluation dated 1/04/12 did not contain an inventory of patient assets.

B. Interview

1. In an interview on 1/10/12 at 4:15p.m., the Medical Director, who also was the attending physician for all active sample patients, confirmed that the Psychiatric Evaluations did not contain an inventory of patient assets.

Based on record review and interview, the facility failed to ensure that staff members responsible for each intervention were specifically identified in the master treatment plan for 8 of 8 active sample patients (A, B, C, D, E, F, G, and H). This failure results in the patient and other staff being unaware of which staff person was assuming responsibility for the interventions being implemented and documented.

Findings include:

A. Record Review

1. Patient A's master treatment plan dated on 12/28/11 listed interventions to be implemented by discipline rather than identify a specific responsible staff member.
2. Patient B's master treatment plan dated on 12/28/11 listed interventions to be implemented by discipline rather than identify a specific responsible staff member.
3. Patient C's master treatment plan dated on 12/29/11 listed interventions to be implemented by discipline rather than identify a specific responsible staff member.
4. Patient D's master treatment plan dated on 12/30/11 listed responsible staff interventions to be implemented by discipline rather than identify a specific responsible staff member.
5. Patient E's master treatment plan dated on 1/02/12 listed interventions to be implemented by discipline rather than identify a specific responsible staff member.
6. Patient F's master treatment plan dated on 1/03/12 listed interventions to be implemented by discipline rather than identify a specific responsible staff member.
7. Patient G's master treatment plan dated on 1/04/12 listed interventions to be implemented by discipline rather than identify a specific responsible staff member.
8. Patient H's master treatment plan dated on 1/05/12 listed interventions to be implemented by discipline rather than identify a specific responsible staff member.

B. Interview

1. In an interview on 1/09/12 at 3:00p.m., the Director of Quality and Hospital Development confirmed that specific, identified responsible staff members were not listed for master treatment plan interventions.

2. In an interview on 1/10/12 at 2:30p.m., the Director of Nursing (DON)validated that specific, identified responsible staff members were not listed for master treatment plan interventions.