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PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION

Tag No.: A0123

Based on interview and record review for two of ten sampled patients (Patient #2 and Patient #3), the Facility failed to ensure a timely response to their grievance as required by Hospital policy and procedure.
Findings include:

The Hospital's policy and procedure titled Complaints and Grievances, dated 7/29/14, indicated that a written notice will be provided to the patient within seven days after initial receipt of the grievance unless otherwise communicated to the patient.

The Hospital's grievance file for Patient #2's grievance, dated 10/19/16, indicated there was no communication with Patient #2 until 11/23/16 when a written response was sent by the Hospital to Patient #2.

The Hospital's grievance file for Patient #3, dated 10/20/16, indicated there was no communication with Patient #3 until 11/10/16 when a written response was sent by the Hospital to Patient #3.

The Surveyor interviewed the Patient Advocate at 9:50 A.M. on 12/15/16. The Patient Advocate said the written notice was not sent out according to Hospital policy to Patient #2 and Patient #3.