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Tag No.: A0820
Based on review of medical records and staff interview it was determined the facility failed to ensure the patient's family was educated to meet the patient's needs at home post-discharge for one (#7) of ten patients sampled.
Findings included:
Review of the medical record for patient #7 revealed the patient was admitted on 2/2/2017. Review of the nursing assessment dated 2/3/2017 revealed the patient required total care with all ADLs (Activities of Daily Living).
Review of the patient's plan of care revealed discharge planning was developed for the patient. The plan revealed the patient would be discharged home with home health care services. Review of the medical record revealed the patient's parent was the primary caregiver at home.
Review of the record revealed the patient had a feeding tube placed during the admission. The patient was to be discharged home with the feeding tube with continuous feedings administered. Review of the nursing documentation revealed no evidence the patient's primary caregiver at home was educated about the patient's post-hospital needs related to the patient's recently placed feeding tube and need for continuous feedings.
Interview and review of the medical record with the Quality Manager on 5/2/2017 at 4:00 p.m. confirmed the above findings.