HospitalInspections.org

Based on document review and interview, the facility failed to document that the notice of patient rights was provided to a patient or the patient's representative prior to receiving care for 1 of 7 (patient 27) medical records (MR) reviewed.

Findings:

1. The policy/procedure Patient Rights and Responsibilities (revised 2-11) indicated the following: "The patient shall also receive at the time of admission information regarding the Patient's Rights and Responsibilities Policy ... "

2. The policy/procedure Nursing Admission Procedures (revised 4-12) indicated the following: "The patient is given a copy of Patient Rights, and the patient's understanding of this documentation is verified and documented in the patient's chart."

3. The MR for patient 27 failed to indicate documentation that the patient or the patient's representative was provided with a copy of the notice of Patient Rights around the time of admission on 7-06-14 at 0930 hours.

4. During an interview on 10-16-14 at 1320 hours, the quality manager A3 confirmed that the MR for patient 27 lacked documentation indicating that notice of Patient Rights was provided to the patient or the patient's representative at the time of admission to the facility.