Bringing transparency to federal inspections
Tag No.: A0083
Based on a review of documentation, the governing body was not responsible for services furnished in the hospital.
Findings were:
A review of the census for 9-21-11 and 9-22-11 revealed a total of 21 patients in the child/adolescent unit for each date.
Per the facility staffing grid, minimum staffing requirements for 21 child/adolescent patients on the 11p-7a shift are as follows:
? 1 Registered Nurse
? 1 Licensed Vocational Nurse
? 2 Mental Health Technicians
A review of the staffing sheet for the child/adolescent unit for the 11p-7a shift on 9-21-11 revealed only one mental health technician (as opposed to two).
Per the facility staffing grid, minimum staffing requirements for 21 child/adolescent patients on the 7a-3p shift are as follows:
? 2 Registered Nurses
? 1 Licensed Vocational Nurse
? 2 Mental Health Technicians
A review of the staffing sheet for the child/adolescent unit for the 7a-3p shift on 9-22-11 revealed only one registered nurse (as opposed to two).
The above was discussed in an interview with the Vice-President of Intake as well as the Vice-President of Behavioral Health on the afternoon of 1-10-12 in the facility conference room.