Patient Treatment Plans Did Not Address Patient Goals and Interventions

Millwood Hospital was cited by the Texas Department of State Health Services for failing to meet state regulations requiring facilities to maintain treatment plans that list problems and needs to be addressed during a patient’s hospitalization.  State surveyors found that the facility’s treatment plans were not current and did not address long and short term goals. One patient was given physician’s orders for the administration of Plavix (a blood thinner) and Phenergan (an anti-nausea medication), but the patient’s interdisciplinary treatment plan did not reflect these medical conditions and treatment interventions. In another patient case, the patient’s treatment plan did not address his diabetes and urinary tract infection, even though physician orders and medication administration records showed that the patient was being treated for these conditions.