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Based on record review and interview the hospital failed to document transfer of all necessary medical information pertaining to the patient's course of illness and treatment, post-discharge goals of care, and treatment preferences, at the time of discharge, to the appropriate post-acute care service providers for 2 (#2, #5) of 5 (#1- #5) discharged patients sampled.

Findings:

Review of the policy and procedure titled, "Discharge Planning" effective 09/2017 and most recently revised 07/2022 revealed, in part, II. Policy: A. All patients are considered at risk of adverse health consequences post-discharge if they lack discharge planning; B. Therefore, all patients' post-discharge needs are identified and evaluated. C. All patients will have a discharge plan developed and implemented prior to their discharge. III. Procedures: A 7. Include timely and direct communication with and transfer of information to other programs, agencies, or individuals that will be providing continuing care. D11. Documentation that the continuing care plan, in its entirety, is discussed with the patient or caregiver.

Medical record review revealed Patient #2 was involuntarily admitted on 07/01/2023 at 10:52 p.m. with a diagnosis of Schizophrenia and Schizoaffective Disorder. Patient #2 was discharged to a group home on 0712/2023 at 10:02 a.m.

Review of Patient #2's discharge care plan revealed the patient was discharged to a group home. There was no documentation that the group home was notified when patient was discharged.

In an interview on 07/24/2023 at 2:00 p.m. S2CSW verified Patient #2's group home wasn't notified upon discharge.

In an interview on 07/24/2023 at 2:05 p.m. S1DR verified that hospital policy and procedures were not followed.

Medical record review revealed Patient #5 was involuntarily admitted on 07/14/20232 at 8:53 a.m. with a diagnosis of Major Depression with Suicidal Ideations. Patient # 5 was discharged to a group home on 07/24/2023 at 9:35 a.m.

Review of Patient #5's discharge care plan revealed the patient was discharged to a group home. There was no documentation that the group home was notified when patient was discharged.

In an interview on 07/25/2023 at 2:20 p.m. S1DR verified that hospital policy and procedures were not followed when Patient #5 was discharged.