Hospital Cited for Poor Treatment Plans and Restraining Patients without Demonstrated Justification

The Centers for Medicare and Medicaid Services (CMS) cited Coastal Harbor for not ensuring that its patients’ Master Treatment Plans included physician and nursing interventions based on individualized needs.The facility’s Medical Director acknowledged that the physician interventions for some patients were generic, non-specific, and not individualized for the patients.

The hospital was also cited for failing to ensure the appropriate use of patient seclusion/restraints.Seclusion or restraints were initiated or continued without adequate documented justification, nor were patients released in a timely manner. CMS found that “These failures expose patients to potential harm from unnecessary restraint. They also violate patients’ rights to safe treatment in the least restrictive manner possible.”