Lancaster Behavioral Health Hospital was cited for two incidents this spring after investigations prompted by complaints, according to the Pennsylvania Department of Health.
A patient who was supposed to be under constant supervision because of attempts to harm himself/herself or others was found not breathing on March 31, several minutes after a staffer allowed the patient to close a curtain for privacy while going to the bathroom, the department’s report says.
Michael Stevens, the hospital’s director of business development, said in an email that the patient “was not harmed” and returned to the hospital shortly after being checked at the local emergency department “as a precaution.”
An earlier report says a patient received the incorrect type of medicine — long-acting, instead of the short-acting form the doctor ordered — despite alerts flagging the error when it was entered in the dispensing cabinet and when the medication was scanned. The report did not note any harm to the patient as a result.
The reports also said that the medication error should have been entered in the medical record but was not; that staff said walkie-talkies they were supposed to use were “not always reliable;” and that the assignment sheet for March 31 didn’t show that two staff members left to accompany patients to the hospital and another left the hospital before the end of the shift, leaving three staff responsible for the care of 22 patients.
The reports show detailed plans of correction, and Pennsylvania Department of Human Services confirmed that the hospital’s license remains in place.
The hospital, Stevens wrote, “is committed to its mission of serving patients with special, and often complex, mental health needs.”
Penn Medicine Lancaster General Health and Universal Health Services are partners on the 126-bed hospital, which opened in July 2018 near Clipper Magazine Stadium in Lancaster city.
Stevens said the general adult and intensive adult units are currently open, with plans to open an adolescent unit in the summer, a women’s trauma unit in the fall and a medical and psychiatric unit in spring 2020.