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Based on interview and record review, the hospital failed to provide a letter of response to 2 of 3 patients (patients #1 and #2) who filed a complaint in 2018, thereby not adhering to their policy.

Findings included:

Patient #1 filed a complaint on 02/13/18 for lack of communication and a long wait in the Emergency Department. The hospital did not provide a final resolution letter to Patient #1's complaint.

Patient #2 filed a complaint on 03/16/18 regarding pain during a Liver Biopsy. The hospital did not provide a final resolution letter to Patient #2's complaint.

In an interview on 05/29/18 at 1135 Personnel #3 was informed of the above findings and confirmed that a final resolution letter was not sent to Patient #1 or Patient #2.

The Complaints/Grievances for Patients, Family and or Visitors policy dated 08/04/16 page 3...10. "Grievance responses should be completed as soon as possible but generally within 30 calendar days of receipt, barring extenuating circumstances that prevent or impede such a timely response. If the final response cannot be completed within 30 days, attempts should be made to notify the patient or complainant of the status of the investigation..."

Based on interview and record review, the facility's registered nurse (RN) did not supervised and evaluate the nursing care for 2 of 7 Patients (Patient #4 and #5) in that the RN discharged the patient without instructions on the proper care of a wound.

Findings included:

Patient #4 was admitted on 01/09/18 for multiple gunshot wounds. Patient #4 developed a pressure ulcer on his coccyx during hospital treatment. Patient #4 was discharge on 02/09/18 without instructions for care of a pressure ulcer. There was no evidence documented in the chart that the patient and or family received instructions on the care of a pressure ulcer.

Patient #5 was admitted on 01/20/18 with a gunshot wound to the right forearm. On 01/22/18 and 01/26/18 Patient #5 underwent a free flap muscle and tissue graft harvested from the right thigh with insertion of a JP (Jackson Pratt) drain. Patient #5 was discharged on 01/31/18 with no documented evidence of removal of the JP drain and no evidence of teaching or instructions for the care of a JP drain. There was no evidence of teaching or instructions for the care of the wounds.

In an interview on 05/29/18 at 1235 Personnel #4 was confirmed of the above findings.

The Discharge Planning policy dated 08/05/16 page 2 required "4...C. The hospital shall arrange for the initial implementation of the discharge plan. This includes arranging for...and educating the patient, family, caregivers, and/or community providers about post-hospital care plans..."

Based on interview and record review, the facility did not arrange for the initial implementation of the patient's discharge plan for 2 of 7 Patients (Patient #4 and #5) in that the Patient was discharged without instructions on the proper care of a wound.

Findings included:

Patient #4 was admitted on 01/09/18 for multiple gunshot wounds. Patient #4 developed a pressure ulcer on his coccyx during hospital treatment. Patient #4 was discharge on 02/09/18 without instructions for care of a pressure ulcer. There was no evidence documented in the chart that the patient and or family received instructions on the care of a pressure ulcer. Patient #4's discharge instructions did not contain the address or phone number for the surgeon to which he was referred.

Patient #5 was admitted on 01/20/18 with a gunshot wound to the right forearm. On 01/22/18 and 01/26/18 Patient #5 underwent a free flap muscle and tissue graft harvested from the right thigh with insertion of a JP (Jackson Pratt) drain. Patient #5 was discharged on 01/31/18 with no documented evidence of removal of the JP drain and no evidence of teaching or instructions for the care of a JP drain. There was no evidence of teaching or instructions for the care of the wounds.

In an interview on 05/29/18 at 1235 Personnel #4 was confirmed of the above findings.

The Discharge Planning policy dated 08/05/16 page 2 required "4...C. The hospital shall arrange for the initial implementation of the discharge plan. This includes arranging for...and educating the patient, family, caregivers, and/or community providers about post-hospital care plans..."