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Based on interview and record review, the facility failed to inform the patient ' s representative in advance of the furnishing and the discontinuing of patient care in 1 of 3 patient charts (#83). Findings include:

During record review of patient # 83 ' s chart on 6/23/10 & 6/24/10, revealed that the facility failed to inform the patient ' s representative of both the admission and discharge of the patient. The patient was admitted through the emergency room on 4/3/2010 from a skilled nursing facility. During admission on the nursing floor R.N. # A admitted the patient at 1627 and documented two contact numbers for a family member. The family member was not called and notified of the patient admission.

Based on interview and file review, the facility failed to provide written notice of its decision in the resolution of a grievance for 1 of 3 (#83) grievances reviewed. Findings include:

Interview with the Patient Relations Coordinator, on 06/24/10 at approximately 1130 revealed that there was a grievance that entered the system on 04/08/10. A letter dated 04/09/10 from the facility, acknowledged the receipt of the grievance. The patient representative called the facility again on 05/04/10 because they were told in the letter dated 04/08/10 that they would be contacted as soon as the review had been completed. A second letter dated 05/06/10 was sent to the patient representative stating that they would be contacted as soon as the facility has received verification from the physician on the patient ' s case. Again, there was no closure to the complaint that was made. According to the policy titled " Patient & Family Grievances and Complaints " the facility will " Follow up as necessary, including feedback to complainant within 30 days. " File review and contact with the physician revealed that completion of the investigation and the decision correspondence had not been completed as required when reviewed on 06/24/10.

Based on record review and interview the facility failed to discuss the results of the discharge evaluation with the patient ' s representative, for 1 of 3 medical records reviewed (#83). Findings include:


On 06/23/10 at approximately 1430 during the review of patient #83's medical record, the social worker wrote a discharge note on 04/07/10 at 1004 stating that the patient "now ready for transfer back (SNF), updated patient info faxed to (SNF)" and that the "ambulance was set for 1200 noon " . There was no patient representative listed on the discharge instructions. There was no other documentation that supported that a discharge evaluation was discussed was discussed with the patient ' s representative.

During an interview on 06/24/10 at 1100 the Vice President of Patient Care Services and the Recipient Rights Advisor confirmed these findings.