Hughes Center violated state standards for keeping accurate and updated medical records

Hughes Center for Exceptional Children was cited by the Virginia Department of Behavioral Health and Developmental Services for deficiencies related to maintaining complete and accurate patient medical records. The DBHDS cited the facility for failing to keep separate records for each resident and found that one resident’s record contained an email with another resident’s name. The DBHDS also found that the facility failed to maintain records that reflected a patient’s physical needs. In one case, the patient’s record did not contain documented evidence that his/her immunization needs were determined prior to admission as required by regulation, since the Immunization Record on file was left blank. DBHDS also determined that the Hughes Center failed to keep updated records for residents. The DBHDS reported:
“The face sheet for Consumer 3 …indicates effective June 2, 2014 that DSS has discontinued Consumer 3’s communication with her family. However, a review of progress notes indicates efforts are regularly being made to contact Consumer’s mother. Per Provider, the face sheet should indicate that family therapy will not be conducted…”
In the Correction Action Plan, the facility agreed to retrain staff on appropriate policies and procedures pertaining to the cited deficiencies.