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Tag No.: A0122
Based on documentation review it was determined the Hospital failed to ensure, in instances when a grievance could not be resolved within 7 days, that the process specified in the grievance policy included the number of days for a written response to be sent.
Findings included:
The Hospital Policy that addressed Patient Grievances was reviewed. The Policy stated if a grievance will not be resolved, or if the investigation is not or will not be completed within seven days, the hospital should inform the patient or the patient ' s representative that the hospital is still working to resolve the grievance and that the hospital will follow-up with a written response within a stated number of days in accordance with this policy. Continued review of the Policy did not indicate the number of days for a written response to be sent, was stated in the Policy.