The information below comes from the statement of deficiencies compiled by health inspectors and provided to AHCJ by the Centers for Medicare and Medicaid Services. It does not include the steps the hospital plans to take to fix the problem, known as a plan of correction. For that information, you should contact the hospital, your state health department or CMS. Accessing the document may require you to file a Freedom of Information Request. Information on doing so is available here.

ANOKA-METRO REG TREATMENT CTR 3301 SEVENTH AVE NORTH ANOKA, MN 55303 Jan. 31, 2012
VIOLATION: PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT Tag No: A0145
Based on record review and interview the hospital failed to ensure patients were free from harassment for 1 of 10 patients reviewed, Patient #1. Findings include:

Medical record review revealed that Patient #1 was admitted to the hospital 11/17/2011 with diagnoses that included suicidal ideation and mood disorder. Patient #1 required 1 to 1 staffing during her admission.

Psychology/neuropsychology progress notes written by Physician B/Licensed Psychologist dated 12/7/2011 were reviewed and revealed that on 12/6/2011 and 12/7/2011 Patient #1's 1 to 1 staff was Employee D/Human Services technician/HST. Patient #1 told her physician that Employee D made remarks about Patient #1's family being unhealthy, and that she should not be sent home to her family because she keeps being rehospitalized . The notes further indicate that Patient #1 thought this interaction was abusive and that she would rather be in jail than to continue to be abused. The notes indicated that Patient #1 stated that this interaction contributed to her behavior on 12/7/2011 including damaging her room, and requiring restraint.

An interview with Physician B on 1/24/2012 at 3:00 p.m. revealed that Patient #1 told her about the interactions with Employee D on 12/7/2011. Physician B confirmed that Patient #1 told her that Employee D stated that Patient #1 should not go home because it was not good for her. Physician B stated that she understood from the patient that Patient #1 requested Employee D to stop, but Employee D did not do so. Physician B stated that Patient #1 stated she felt threatened by the interaction. Physician B stated that an HST, such as Employee D, does not have the skills for therapy and should not be interacting with patients on that level. Physician B further stated that it is especially troubling when a patient is on a 1 to 1 staffing and does not have the option to walk away.

Employee C/RN/Supervisor was interviewed on 1/19/2012 at 2:00 p.m. and stated that she investigated that concern that Patient #1 voiced regarding Employee D. Employee C stated that Patient #1 requested to not have Employee D as her 1 to 1 staff on 12/7/2011 and that Employee D was then removed from that duty. Employee C stated that Employee D denied that she made any comments about Patient #1's home or family. Employee C also stated that other patients have complained about Employee D being inappropriate. Employee C stated that she has not yet finished her investigation, but that she has limited Employee D's duties and she is no longer providing 1 to 1 care to patients.

Employee D's personnel file was reviewed and revealed that she had a previous history of nontherapeutic interaction with patients and disciplinary actions including:

A suspension in 2010 for speaking about personal information about herself and coworkers in front of patients and being confrontational with her co-workers.

A suspension in 2009 for inappropriate workplace behavior in front of patients.

A suspension in 2007 for inappropriate/unprofessional behavior/boundaries towards a patient.