Patient held for 6 days without court order or voluntary consent after expiration of involuntary commitment period

Brooke Glen Behavioral Health was cited during a Licensing Inspection Survey completed by the Pennsylvania Department of Human Services (DHS, formerly the Dept. of Public Welfare) for deficiencies related to adequate treatment, emergency treatment, voluntary examination and treatment, and consent to inpatient treatment. DHS cited Brooke Glen for violating regulations around extended involuntary emergency treatment, which state that treatment should not exceed 20 days. The regulations state that “if the facility determines that extended emergency involuntary treatment is not necessary, it shall either accept the person for voluntary inpatient treatment or discharge the person.” According to DHS findings, “Consumer A was committed to the facility on a 302 on 7/10/14. A 303 was approved for extended treatment on 7/17/14. The 303 expired on 8/6/14 however a 201 for voluntary treatment was not signed until 8/12/14. There was a six-day period where Consumer A was an inpatient without a court commitment or voluntary consent.” DHS also cited the facility for violations of the regulation on adequate treatment after the agency found Medication Administration Records “contained blanks without explanations.” In the plan of correction, the facility agreed to remind staff to fully complete Medication Administration Records and ensured “every patient receiving inpatient treatment is admitted by current valid involuntary commitment or voluntary consent.” A letter from the Licensing Administration dated October 9, 2014 stated that the facility “is now considered to be in compliance with Department regulations.”