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NEUROPSYCHIATRIC HOSPITAL OF INDIANAPOLIS, LLC
DISCHARGE PLANNING
Tag No.: A0799
Based on document review and interview, the facility failed to ensure staff followed their policy/procedure for discharge planning and transfer of a patient for a safe discharge for 1 of 10 patients (patient P6). (See tags 808 and 813)
The cumulative effects of this deficient practice resulted in the facility's inability to provide for safe discharges.
DISCHARGE PLANNING EVALUATION
Tag No.: A0808
Based on document review and interview, the facility failed to ensure staff followed their policy/procedure for discharge planning in a medical record (MR) for 1 of 10 patients (patient P6).
Findings Include:
1. Policy/procedure: "Discharge Planning", PolicyStat ID: 10827863, Effective: 11/2022. The Discharge Planner will attempt to find adequate and appropriate living arrangements for all patients discharged from F1.
2. Patient 6's MR: Review of discharge plan indicated it was initiated on 12/23/2022, 12/28/2022, 1/2/2023, and 1/15/23 per staff A7 (Social Worker). Review of P6's MR lacked documentation of an accepting facility for P6 prior to him/her being transferred.
3. During an interview with the A7 (Social Worker) on 2/8/2023 at 1400 hours, he/she acknowledged that there was not an accepting facility for P6 to be transferred to and P6 was transported to F2 (Skilled Nursing facility) on 1/16/2023.
DISCHARGE PLANNING- TRANSMISSION INFORMATION
Tag No.: A0813
Based on document review and interview, the facility failed to ensure that nursing personnel followed established policy/procedure for transferring of patients for 1 of 10 (P6) closed medical records reviewed.
Findings:
1. Policy/procedure, "Transfer of Patient", revised/approved 10/2021, PolicyStat ID: 10623375: indicated on page 1: When a patient is being discharged and sent to another licensed health care institution as an inpatient. Appropriate patient information will accompany the patient during transfer/transport.
2. Review of patient P6 medical record (MR) lacked documentation of patient transfer dated 1/16/2023 was accompanied with any documentation regarding P6 health/mental status.
3. On 2/8/2023 at approximately 1500 hours, A5 (Director of Nurses) was interviewed and confirmed patient P6 MR lacked documentation of the patient transfer. Also confirmed staff are not following policy/procedure for transferring of patients.