During a licensing inspection survey, the Meadows Psychiatric Center Partial Hospitalization Program for Children located in York County was cited by the Pennsylvania Department of Public Welfare’s Office of Mental Health and Substance Abuse Services (OMHSAS) for deficiencies related to psychiatric supervision, treatment planning, and medication. Specifically, the OMHSAS found treatment plans that were not formulated by the treatment team, a patient was receiving the incorrect dosage of medication, and consumers’ medications did not contain an accurate pill count. As a result of these deficiencies, the Department of Public Welfare revoked the facility’s current certificate of compliance and issued the facility a provisional license, which is for the period of February 23, 2015 to August 23, 2015.
During the licensing inspection survey, OMHSAS found that a patient’s medical record had a treatment plan that did not contain a psychiatrist’s signature and was not being monitored by any psychiatrist. It was also found that 6 out of 6 patient records had treatment plans “where the signatures of youth, psychiatrist and staff occurred at different times and dates.” Also, the facility did not have written logs or progress notes demonstrating that treatment plan review meetings had occurred or who was present at the meetings. DHS noted that “it appears treatment team meetings are not occurring.”
During the review of the medication room, OMHSAS license inspection surveyors found that a patient was receiving the incorrect medication and dosage. A psychiatrist had prescribed a patient Topiramate 100mg, an anti-epileptic medicine, but the medication record showed that the patient was given 50mg, half of the needed prescription. Lastly, OMHSAS discovered that 5 of 9 medication records did not contain an accurate pill count and that the provider was not doing a pill count at the end of the week or updating the total number of pills.
The facility submitted a plan of correction to address these cited deficiencies.