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Based on record review and staff interview it was determined the facility failed to ensure staff did not delay providing an appropriate medical screening in order to acquire about the individual's method of payment or insurance status (see Tag A 2408).

Based on record review and staff interview it was determined the facility failed to ensure staff did not delay providing an appropriate medical screening in order to acquire about the individual's method of payment or insurance status (see Tag A 2408).

Based on record review and staff interview it was determined the facility failed to ensure staff did not delay providing an appropriate medical screening in order to acquire about the individual's method of payment or insurance status. This failure was identified in three (3) of twenty (20) intake medical records reviewed (patient #1, 2 and 18). This failure has the potential to adversely affect all patients.

Findings include:

1. A review of the medical record for patient #1 revealed patient #1 arrived at the facility on 9/11/19 at 10:25 a.m. Insurance status was checked at 10:45 a.m. and the medical screening was documented as completed at 11:01 a.m.

2. A review of the medical record for patient #2 revealed patient #2 arrived at the facility on 8/30/19 at 7:15 a.m. Insurance status was checked at 6:31 a.m. and at 7:27 a.m. The medical screening was documented as completed at 7:50 a.m.

3. A review of the medical record for patient #18 revealed patient #18 arrived at the facility on 9/11/19 at 4:25 p.m. Insurance status was checked at 5:03 p.m. and 6:04 p.m. The medical screening was documented as completed at 6:40 p.m.

4. During the tour of the Assessment and Referral (A&R) department an interview was conducted with the Director of A&R on 10/28/19 at 10:35 a.m. When asked what the process was for intake of all patients who present with an emergency, she stated the patients are put in an intake room with paperwork to complete. The patient's name is put on the board in the A&R department and then the nurse gets the patient's vital signs. The nurse will ask the patient for insurance and other information. The Information is brought back to the A&R department and they run the insurance information and then the assessment is done.

5. An interview was conducted with the Director of Quality and Director of A&R on 10/29/19 at approximately 1:00 p.m. When informed of the insurance verification before completion of the medical screening the Director of Quality concurred with the findings.