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Based on record review and interview, it was determined that the facility failed to ensure that physicians performed and documented an estimate of memory functioning in seven (7) of eight (8) psychiatric evaluations (02, 08, 09, 11, 14, 15, and 17). The failure to document specific testing compromises the identification of pathology which may be pertinent to the current mental illness and compromises future comparative re-examination to assess patient's response to treatment interventions.

Findings include:

A. Record Review

For the following Psychiatric Evaluations (dates in parentheses), no assets were identified for the patients: Patient 02 (4/15/2014), Patient 08 (4/13/2014), Patient 09 (4/21/2014), Patient 11 (2/25/2014), Patient 14 (4/11/2014), Patient 15 (4/24/2014) and Patient 17 (4/20/2014).

B. Staff Interview

In an interview on 4/30/2014 at 9:40 p.m., the Director of Inpatient Psychiatric Services stated you must have a baseline for memory. " If there not there, there not there. The admission psychiatric evaluation must have memory and assets of the individual patient."

Based on record review and interview, the facility failed to ensure that the psychiatric evaluations of eight (8) of eight (8) active sample patients (02, 05, 08, 09, 11, 14, 15, and 17) included an inventory of specific patient assets that could be used in treatment planning. Failure to identify patient assets impairs the treatment team's ability to develop interventions, utilizing the individual strengths of each patient.

Findings include:

A. Record Review

For the following Psychiatric Evaluations (dates in parentheses), no assets were identified for the patients: Patient 02 (4/15/2014), Patient 05 (4/25/2014), Patient 08 (4/13/2014), Patient 09 (4/21/2014), Patient 11 (2/25/2014), Patient 14 (4/11/2014), Patient 15 (4/24/2014) and Patient 17 (4/20/2014).

B. Staff Interview

In an interview on 4/30/2014 at 9:40 p.m., the Director of Inpatient Psychiatric Services stated that if the surveyors couldn't find assets in the psychiatric evaluations he wouldn't be able to. "If they're not there, they're not there."