HospitalInspections.org

Based on clinical record review and interviews with facility Case Manager Supervisor and staff Case Manager, the facility failed to implement a discharge plan for patient #3, 1 of 11 sampled patients. Failure to implement a discharge plan based on the assessment of the availability of appropriate services to meet identified patient needs may lead to patients suffering adverse health consequences upon discharge.
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The findings include:

1. On 8/11/11, review of the MIDAS computer-generated discharge planning documentation by a staff case manager for patient #3, revealed there was no evidence of the implementation of a discharge plan for the admission occuring on 7/5/11.

Interview at 9:45am on 8/12/11 with supervisory staff member #4 confirmed there was no discharge plan implemented, but was unable to provide an explanation for the lack of a discharge plan.