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Based on record review and interview, the facility failed to ensure that psychiatric assessments included an inventory of the patient's assets in a descriptive, not interpretive fashion in seven (7) of eight (8) sample patients (A5, A15, B4, C2, C12 and C19). Failure to describe those personal factors, strengths, and/or attributes of each patient compromises the treatment team's ability to develop goals to meet identified needs of patients and limits the team's ability to engage the patient in treatment based on patient strengths.

Findings include:

A. Record review

The Psychiatric Evaluation for the following patients were reviewed (dates of plans in parentheses): A5 (11/25/15); A15 (12/10/15); B4 (11/19/15); B10 (11/25/15); B13 (12/3/15); C2 (11/19/15); C12 (12/5/15); and C19 (12/9/15). This review revealed:

1. Patient A5: in the "Assets" section under "Patient Legal History," the documentation contained no statement related to the patient's assets.

2. Patient A15: in the "Assets" section under "Patient Legal History," the documentation stated, "No Much." There was no statement related to the patient's assets.

3. Patient B4: in the "Assets" section under "Patient Legal History," the documentation stated, "I like my compassionate heart." "Genuine concern for other people."

4. Patient B10: in the "Assets" section under "Patient Legal History," the documentation included the following statement, "Big heart."

5. Patient C2: in the "Assets" section under "Patient Legal History," the documentation contained no statement related to the patient's assets.

6. Patient C12: in the "Assets" section under "Patient Legal History," the documentation included the following statement, "On SSD."

7. Patient C19: in the "Assets" section under "Patient Legal History," the documentation stated, "Nothing." "I could be a good person." There was no statement related to the patient's assets.

B. Staff Interview

In an interview on 12/15/15 at 1:15 p.m., the psychiatric evaluations were reviewed for patient assets to use in treatment. The Medical Director acknowledged that the psychiatric evaluations for the active sample patients did not include an inventory of specific patient assets that could be used in treatment planning and treatment.