Nursing Assessments at Holly Hill Not Consistently Performed

The Centers for Medicare and Medicaid Services (CMS) cited Holly Hill Mental Services for deficiencies related to the supervision of nursing care. CMS found that the facility failed to complete comprehensive initial nursing assessments for six out of eleven sampled patients. These patients reported high levels of pain, but were not given proper follow-ups necessary for proper treatment. For example, a 13-year old patient had reported pain to a MHT (mental health technician), but the patient’s pain was not assessed by a nurse until three days later.  Another patient had sustained a hand injury after hitting a wall. While a physician’s order had been placed to x-ray the injury and a pain level of “10” was recorded by the MHT, the patient’s pain was not assessed by the nursing staff. As a result, the facility had to submit a plan of correction to address its cited deficiencies, which included revising its deficient pain assessment and management policy to reflect follow-ups for reports of pain.