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He also requested information about the hiring of a contractor, Health Enhancement Services Inc., which RMHS brought in to help the organization come back into compliance with its grant contracts.
The December letter cites nearly 50 ways in which RMHS is said to be out of compliance in its agreements with DMH and DAIL, though some are redundant.
The most serious is that safe staffing protocols were not followed “leading to near-death suicide attempt.”Others concerns were prohibited use of physical restraints, failure to comply with mandated reporting (including failure to convey the “seriousness of an event”), lack of hygiene at some facilities, failure to secure medication, lack of oversight for contractors, failure to secure “sharps” or other means of self-harm, failure to follow treatment plans, failure to provide “ancillary services” despite “available funding,” insufficient staff training and more.
Keyser said the agency has since changed its bylaws to prevent employees from serving on the board. After Chen wrote his letter, RMHS hired Anne Cramer, an attorney with Primmer Piper Eggleston & Cramer, to guide them through its grant negotiations and the redesignation process.
Communication between Cramer and state officials shows her acting as an intermediary for the two sides.
The agency operates under the umbrella of the Community Care Network, and through its various programs serves 3,000 people in Rutland County and employs 325 full-time equivalents. Photo by Elizabeth Hewitt/VTDigger " data-medium-file="https://vtdigger.org/wp-content/uploads/2015/01/DSC_0832-330x221.jpg" data-large-file="https://vtdigger.org/wp-content/uploads/2015/01/DSC_0832-610x408.jpg" src="https://vtdigger.wpengine.com/wp-content/uploads/2015/01/DSC_0832-330x221.jpg" alt="Hal Cohen" width="300" height="201" class="size-medium wp-image-144141" srcset="https://ja3ga476chj1nc6csy2j81c7-wpengine.netdna-ssl.com/wp-content/uploads/2015/01/DSC_0832-330x221330w, https://ja3ga476chj1nc6csy2j81c7-wpengine.netdna-ssl.com/wp-content/uploads/2015/01/DSC_0832-125x84125w, https://ja3ga476chj1nc6csy2j81c7-wpengine.netdna-ssl.com/wp-content/uploads/2015/01/DSC_0832-610x408610w, https://ja3ga476chj1nc6csy2j81c7-wpengine.netdna-ssl.com/wp-content/uploads/2015/01/DSC_0832-150x100150w, https://ja3ga476chj1nc6csy2j81c7-wpengine.netdna-ssl.com/wp-content/uploads/2015/01/DSC_08321024w" sizes="(max-width: 300px) 100vw, 300px" /Hal Cohen, secretary of the Agency of Human Services, said two state departments have been looking into care quality and clinical issues “for more than a year.”The Department of Mental Health and the Department of Aging and Independent Living funnel million a year in state and federal funds to Rutland Mental Health Services.
In December, then acting AHS Secretary Harry Chen wrote a strongly worded letter to former Board Chair Robert Bliss stating that Rutland Mental Health Services was “out of compliance” with the terms of its master grant agreement with the state.
But Rutland Mental Health Services still does not have a new grant contract with the state, according to Cohen.
A provisional extension of its current contract is in place to keep the money flowing through June 30.
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They are able to ask the agency questions, and ultimately make recommendations to the relevant commissioners.