HospitalInspections.org
Bringing transparency to federal inspections
UNITY PSYCHIATRIC CARE - HUNTSVILLE
PLAN INCLUDES SPECIFIC TREATMENT MODALITIES UTILIZED
Tag No.: B0122
Based on record review and interview, it was determined the facility failed to provide Individual Therapy as ordered in 1 of 1 record reviewed with ordered daily Individual Therapy. This affected Medical Record (MR) # 2 and had the potential to affected all patient served by this facility.
Findings include:
1. MR # 2 was admitted to the facility on 4/13/15 with a diagnosis of Major Depression with Suicidal Ideation.
Review of the physician's orders dated 4/13/15 revealed an order for Individual Psychotherapy daily.
Review of the medical record on 4/30/15 revealed Individual Psychotherapy notes dated 4/14/15, 4/15/15, and 4/16/15. Further review of the medical record revealed no documentation of further Individual Psychotherapy notes or a physician's order to discontinue the Individual Psychotherapy.
An interview was conducted with Employee Identifier (EI) # 1, Director of Hospital Quality on 4/30/15 at 10:00 AM. EI # 1 verified the above.
Tonya Blankenship, RN