HospitalInspections.org

Based on document reviews and interviews, the hospital failed to inform a patient of his/her rights in advance of providing care for one (1) of ten (10) sampled patients (Patient #6).

Finding:

The hospital's "Consent to Treatment, Guarantee of Payment, Assignment of Benefits, Protected Health Information, Consent to Care Notice", which contains patient rights, last approved 6/2021, states, in part "I have read this form, or it has been read to me, and I understand it"...

On 2/8/2023 at 10:15 AM, Patient #6's medical record was reviewed with the Director of Quality. The hospital failed to provide evidence that Patient #6 received a copy of the "Consent to Treatment, Guarantee of Payment, Assignment of Benefits, Protected Health Information, Consent to Care Notice", which contains patient rights, nor any evidence of a signed acknowledgement.

On 2/8/2023 at approximately 10:25 AM, this finding was confirmed by the Director of Quality at the time of the review.

Based on document reviews and interviews, the hospital failed to inform a patient of his/her rights in regards to having the right to participate in the development and implementation of his/her plan of care for one (1) of ten (10) sampled patients (Patient #6).

Finding:

The hospital's "Consent to Treatment, Guarantee of Payment, Assignment of Benefits, Protected Health Information, Consent to Care Notice", which includes patient rights, last approved 6/2021, states, in part, "I can discuss my care, Advance Directive and CPR with my physician/provider"...

On 2/8/2023 at 10:15 AM, Patient #6's medical record was reviewed with the Director of Quality. The hospital failed to provide evidence that Patient #6 received a copy of the "Consent to Treatment, Guarantee of Payment, Assignment of Benefits, Protected Health Information, Consent to Care Notice", which includes patient rights, nor any evidence of a signed acknowledgement.

On 2/8/2023 at approximately 10:25 AM, this finding was confirmed by the Director of Quality at the time of the review.

Based on document reviews and interviews, it was determined that the hospital failed provide notice to a patient or his or her representative about the right to make informed decisions regarding his/her care for one (1) of ten (10) patients sampled (Patient #6).

Finding:

The "Consent to Treatment Policy", last approved 6/2021, states, in part, "A patient with capacity has the ability to make a decision regarding one's own health-care"...

On 2/8/2023 at 10:15 AM, Patient #6's medical record was reviewed with the Director of Quality. The hospital failed to provide evidence that Patient #6 received a copy of the "Consent to Treatment, Guarantee of Payment, Assignment of Benefits, Protected Health Information, Consent to Care Notice", which includes patient rights, nor any evidence of a signed acknowledgement.

On 2/8/2023 at approximately 10:25 AM, this finding was confirmed by the Director of Quality at the time of the review.

Based on document reviews and interviews, the hospital failed to inform a patient of his/her right to formulate advance directives for one (1) of ten (10) sampled patients (Patient #6).

Finding:

The "Consent to Treatment, Guarantee of Payment, Assignment of Benefits, Protected Health Information, Consent to Care Notice", which includes patient rights, last approved 6/2021, states, in part, "I understand I will be offered the opportunity to make an Advance Directive"...

On 2/8/2023 at 10:15 AM, Patient #6's medical record was reviewed with the Director of Quality. The hospital failed to provide evidence that Patient #6 received a copy of the "Consent to Treatment, Guarantee of Payment, Assignment of Benefits, Protected Health Information, Consent to Care Notice", which includes patient rights, nor any evidence of a signed acknowledgement.

On 2/8/2023 at approximately 10:25 AM, this finding was confirmed by the Director of Quality at the time of the review.