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Based on medical record review and staff interview it was determined that for six (6) of eight (8) patients the Psychiatric Evaluations failed to describe patient assets in descriptive not interpretive fashion. This failure results in the treatment team not being aware of potential strengths that might be utilized in setting up treatment interventions. (Patients A11, A13, B7, B10, C3 and C7).

Findings include:

A. Medical Record Review:

1. Patient A11: The Psychiatric Evaluation dated 2/23/16 had no assessment of patient assets described.

2. Patient A13: The Psychiatric Evaluation dated 2/29/16 had no assessment of patient assets described.

3. Patient B7: The Psychiatric Evaluation dated 2/24/16 had no assessment of patient assets described.

4. Patient B10: The Psychiatric Evaluation dated 2/28/16 had no assessment of patient assets described.

5. Patient C3: The Psychiatric Evaluation dated 2/08/16 had no assessment of patient assets described.

6. Patient C7: The Psychiatric Evaluation dated 2/23/16 had no assessment of patient assets described.

B. Staff Interview

On 3/03/16 at 12:30 p.m. the facility's clinical director was interviewed. He was shown the findings described in Section I. above. After checking his computer to assure himself that these Psychiatric Evaluations lacked an assessment of patient assets, he told the surveyor that the printed Psychiatric Evaluations that had been provided by the facility's Risk Manager were reflective of the absence of this type of assessment.