HospitalInspections.org

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Based on interview and document review , the hospital failed to maintain a central log on each individual who comes to the hospital seeking emergency treatment and whether the individual refused treatment, was refused treatment, was treated, transferred, admitted or discharged, stabilized and transferred, or left against medical advice (AMA) as required under the Emergency Medical Treatment and Labor Act (EMTALA) required central log.

Failure to ensure that all patients presenting for emergency care are documented in a central log decreases the hospital's ability to track the care provided to each individual seeking care for an emergency medical condition.

Findings included:

1. The hospital failed to provide a central log with required elements to an investigator on 06/10/25. The log provided did not include any patients that were admitted to the hospital.

Cross reference Tag A-2405

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Based on interview, document review, and review of hospital policies and procedures, the hospital failed to ensure that all patients who presented to the hospital for emergency care were entered into the Emergency Department log.

Failure to maintain an accurate central log decreases the hospital's ability to track the care provided to each individual seeking care for an emergency medical condition.

Findings included:

1. A review of the hospital policy titled, "LL.029 EMTALA-Central Log," number 14185832, last revised 08/23 showed that:
a. The hospital maintains a central log to identify each individual who either comes to the emergency department (ED) or hospital property seeking care for an emergency medical condition.
b. The central log must be available in a timely manner for surveyor review.
c. The log must contain the name of the individual who comes to the ED seeking assistance and whether the individual refused treatment, was refused treatment, was transferred, was admitted and treated, was stabilized and transferred, or was discharged.

2. On 06/10/25 at 11:30 AM, during medical record review with the investigator, the ED director (Staff #1) and the Director of Quality (Staff #2), were unable to provide a central log that included all patients presenting to the ED. Logs were reviewed from 01/01/25 through 06/05/25. There were no patients admitted to the hospital included in the logs.

3. On 06/10/25 at 11:30 AM, Staff #1 stated that they kept a separate report for hospital admissions and did not have an inclusive central log.

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