HospitalInspections.org

Based on interview and record review the hospital failed 1 of 1 patient (Patient #1) by failing to involve the patient and LAR in planning activities a staff member to counsel the patient, providing the patient's LAR, and as appropriate, the patient's caregivers, to prepare them for post-discharge care.

Findings Include,

During an interview with staff #5 it was reported that "The patient was set up with resources." The hospital failed to include the patient during the planning process, to ensure the patients daily needs would be met.

During an interviw with staff # 17 a resource provider, "Patient #1 infomred me that the home health care provider informed him that they would not return for two weeks."

During interview and record review staff #2 reflected, "Patient #1 signed the treatment team document. However, Patient #1 was not present during the Treatment Team meeting, and did not participating in the treatment team meeting. Information was presented to Patient #1."

During record review the hospital failed to follow its on Discharge Planning Process, "It is the policy of the hospital to facilitate an efficient discharge, assure that the patient/guardian and caretakers, as appropriate, understand the discharge instructions prior to discharge, and to communicate this information to all continuing care providers..At the time of discharge, the RN will review with the patie/guardian and caregivers...The RN will assess and assure that the patietn, guardian, and/or caregivers understand the information and will answer all questions related to discharge...Following discharge but no later than 24 hours after discharge, the social worker will assure that any continuing care providers receive the discharge plan along with any other pertinent clinical information."