HospitalInspections.org

Based on closed patient records reviewed and staff, guardian and family interviews, the facility failed to discharge1 (Patient #1) of 10 patients appropriately.

The findings include:

1. A review of Patient #1's closed record showed she was discharged from this hospital on 6/6/18 to an address that is shown on her demographic sheet. A call was made to Patient #1's contact person that was mentioned on this demographic sheet. On 7/10/18 at 10:30 a.m., Patient #1's mother said she moved and the address mentioned on this demographic sheet was hers but has not lived there for over a year. She said Patient #1 lives in a group home.

On 7/10/18 at 10:35 a.m., Patient #1's legal guardian said Patient #1 was supposed to be discharged to her group home. The group home administrator called them on 6/7/18 to notify them Patient #1 has not arrived as of yet. A review of Patient #1's "Discharge Care Plan and Home Medication" form showed she was discharged to the address on the demographic sheet (her mother's old address).

On 7/10/18 at 10:30 a.m. the Director of Clinical Services reviewed Patient #1's record. She said Patient #1 was discharged to the address mentioned on the demographic sheet. She was not aware this address was not where she lives. Further review of Patient #1's record showed she lives at a group home but there was no address of the group home in her record.