State found that Horsham Clinic's Seclusion and Restraint policy didn't meet standards

Horsham Clinic’s Inpatient Unit was cited by the Pennsylvania Department of Human Services for deficiencies related to adequate treatment, treatment plans, consensual release of information, patient rights, and the facility’s seclusion and restraint policy. DHS cited the facility for violations of adequate treatment regulations after the agency found charts that did not reconcile with progress notes, were blank in some areas, were illegible, and did not contain the required signatures. DHS also found violations of regulations around treatment planning. Specifically, DHS found that treatments plans “lacked or contained late physician signatures or documented physician intervention.” DHS also noted that “treatment plan goals, objectives and/or interventions were not modified, changed or individualized” in order to meet the objectives of treatment. Horsham Clinic was also cited for violating patient rights regulations after DHS found the following medication issues: • Medication Administration Records contained blanks • PRN documentation logs were incomplete • First dose monitoring was incomplete • Medication consent forms were incomplete and/or incorrectly completed • Medication consent forms did not have two witnesses signing for verbal consent Lastly, DHS found that the facility’s policy and procedure on seclusion and restraint was not reflective of state regulations for the use of seclusion and restraint. Also, DHS found that staff were “not following the agency’s current Seclusion and Restraint Policy.” The facility submitted a plan of correction that included a revision of the facility’s Seclusion and Restraint Policy to be in compliance with state regulations.