Inspectors with the Pennsylvania Department of Health cited the Roxbury Treatment Center for noncompliance with the conditions for participation in the federal Medicare and Medicaid Services program. In one circumstance, three patients had therapeutic contracts that violated their right to be free from abuse. The contracts prescribed taking away personal belongings as punishment, including clothes, shoes and religious objects. The facility also failed to follow correct procedures for approving and recording restraint and seclusion.
The facility was also cited for understaffing. Upon reviewing the staffing schedules, which were only available for the previous five days, the agency found: “There was no RN assigned to the Military Unit on either the day or night shift of [four days]. Further review revealed that during the night shift on May 20, 2012, there was neither an RN nor a Licensed Practical Nurse (LPN) assigned and that the Unit was staffed by only one Mental Health Technician (MHT).”