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.
|OCEANS BEHAVIORAL HOSPITAL OF PERMIAN BASIN||3300 S FM 1788 MIDLAND, TX 79706||Feb. 21, 2012|
|VIOLATION: MEDICAL STAFF - BYLAWS AND RULES||Tag No: A0048|
|Based on observation and interview it was determined that the facility failed to follow their own policies and procedures as 1 of 1 patients did not have evidence of "individual therapy" with their "assigned therapist."
Facility policy entitled "Documentation of Family/Individual therapy Notes," reviewed on 2/21/12, stated "The Clinical Services Department will follow the established parameters for documentation of therapy notes including completion within the allotted time frames ...The Social Services Department assigns a therapist for the prescribed therapy ordered ...The assigned therapist contacts the family within 72 hours to schedule family therapy ...The assigned therapist conducts individual therapy within two (2) days of admission."
Review of patient #1's medical record on 2/21/12 revealed that she had family therapy with her "assigned therapist" (staff #4 , Licensed Maters Social Worker) however she did not have individual therapy with her "assigned therapist" during her admission from 9/12/11 to 9/17/11.
During an interview with staff #3 (Director of Social Services) on 2/21/12 she confirmed that staff #4 was patient #1's "assigned therapist", and she confirmed that there was no evidence in patient #1's record indicating that staff #4 conducted an individual therapy session with patient #1 during her admission from 9/12/11 to 9/17/11.