HospitalInspections.org

Based on record review and interview the facility failed to ensure that the discharge planning evaluation included a description of whether there is likelihood of a patient needing post-hospital services or otherwise in 1 out 10 Sample Patients (SP) (SP#9).
Findings include:
Clinical record review of SP#9 conducted on 4/14/2014 revealed an admission date of 4/12/2014 due to gastroenteritis. Review of the Case Management notes showed that the patient was discharged on 4/14/2014. There is no documentation if an initial discharge planning evaluation was done prior to the patient being discharged on 4/14/2014.
The Case Management Supervisor (CM Supervisor) stated on 4/14/2014 from 2:05 p.m. that the patient was admitted after 6 p.m. on 4/12/2014. The Case Manager attempted to see the patient on 4/13/2014 but the patient was placed on isolation precautions. The patient was discharged today before the Social Worker saw the patient. The patient was not seen by a Case Manager.
The Chief Nursing Officer (CNO) stated on 4/14/2014 at 2:10 p.m. that there is no excuse why the patient was not seen. There are PPEs (Personal Protective Equipment) available for use.
Review of the policy: Discharge Planning Evaluation it states that the purpose is to identify in-patients at an early stage of hospitalization who are likely to have adverse consequences upon discharge if there is no adequate discharge planning, and to satisfy the Standard of Identification of patients in need of a discharge planning. The high risk screening can include, but is not limited to the following: (h.) age over 75.