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Based on interview and record review, for those patients presenting to the hospital's Emergency Department (ED), the hospital failed to maintain a central log in which each patient presenting for emergency care was listed along with all of the information required by CFR 489.24 for 11 patients. The specific information missing from some pages of the ED log were:

1. Patients 103, 109, 110, 113, 122, 125, 128, and 129 log entries were blank for disposition, and discharge date and time. Patients 105 and 111's log entries were incomplete for chief complaint.

2. Patient 127 had an inaccurate admission time.

These failures had the potential for miscommunication and the inability to assess the compliance with CFR 489.20- 489.24 requirements.

Findings:

1. On 5/27/14, the ED logs for 5/1 through 5/27/14 were reviewed. The log entries for Patients 103, 109, 110, 113, 122, 125, 128, and 129 did not contain evidence of the disposition, and discharge date and time. Patient 105's log entry stated "Unknown." Patient 111's log entry only stated "Altered."

On 5/28/14 at 4 pm, Administrative (Admin) Staff A reviewed the above ED log entries and acknowledged that the ED log was not completed with all the required elements.



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2. On 5/28/14, Patient 127's record was reviewed. Patient 127's record listed the arrival time on 5/4/14 as 19:24 (7:24 pm).

On 5/28/14, the ED log listed Patient 127's arrival time as 07:24 (7:24 am).

On 5/28/14 at 4 pm, Admin Staff A reviewed the ED logs and Patient 127's record and acknowledged that the log was not correct.