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Tag No.: A0131
Based on clinical record review and interview, it was determined the Facility failed to obtain consent for treatment for 12 (#1-#2, #4-#5, #7-#9, #11-#15) of 15 (#1-#15) clinical records reviewed. Failure to obtain consent for treatment did not allow the patients or their caregivers to make knowledgeable, informed and clear decisions regarding their care. The failed practice had the likelihood to affect all patients admitted to the Facility. Findings follow:
A. Review of clinical records on 09/07/17 from 9:45 AM-1:40 PM showed no consent for treatment for Patient #1-#2, #4-#5, #7-#9, #11-#15.
B. Findings in A were verified by Chief Nursing Officer during interview at 09/07/17 at 1:47 PM.