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Based on review of facility documents and staff interview (EMP), it was determined that the facility failed to maintain a central log on each individual who comes to the emergency department seeking assistance and whether he or she refused treatment, was refused treatment, or whether he or she was transferred, admitted and treated, stabilized and transferred, or discharged for one of one patient (PT1)

Findings include:.

Review of the facility policy and procedure "ER Registration Log Book" Date: October 14, 2009, revealed, "Purpose: It is the policy of Corry Memorial Hospital to keep an ER registration log on each individual who 'comes to the emergency department,' as defined in 489.34 (b) of the EMTALA Regulations, seeking assistance and whether he or she refused treatment or was refused treatment, transferred, admitted and treated, stabilized and transferred, or discharged...Procedure: All patients presenting to the Emergency Room for evaluation of an EMC will be registered in Healthland under Quick Admission Entry.

Review of facility documents revealed a 17-year-old patient (PT1) had surgery and a walking cast applied at another hospital. The patient presented to the Corry Memorial Hospital Emergency Department on April 7, 2011, with a "wet, malodorous cast" and requested it be changed. The patient was referred back to the hospital where the surgery was performed. PT1 was not registered in the ED log.

1. Review of the ER Registration Log Book for April 7, 2011, revealed no documentation of PT1 presenting to the Emergency Department for examination and/or treatment.

2. Interview of EMP1, EMP2, and EMP3 on April 20, 2011, at approximately 10:30 AM confirmed that PT1 had not been entered into the ER Registration Log Book.

Based on review of facility documents and staff interview (EMP), it was determined the facility failed to provide an appropriate medical screening examination within the capability of the Hospital's emergency department, to determine whether or not an emergency medical condition existed for one of one patients (PT1).

Findings include:

Review of facility policy and procedure, "EMTALA (Screening, Stabilization and Management of Emergency transfers), Date: October 14, 2009, revealed, "Purpose: To describe the requirements of EMTALA and establish Corry Memorial Hospital policies and procedures for compliance with the EMTALA obligations. Policy: It is the policy of Corry Memorial Hospital ('CMH') to comply with all applicable laws and regulations relating to the provision of emergency services, including the Emergency Medical Treatment and Active Labor Act, 42 U.S.C. 1395dd. ... It is the policy of CMH to provide an appropriate Medical Screening Examination to individuals who come to the CMH Emergency Room requesting examination or treatment, and to individuals present on hospital Property requesting examination or treatment of an Emergency Medical Condition, and if one exits, either to stabilize the emergency condition or to transfer the individual appropriately and in conformity with legal and regulatory requirements...."

Review of facility documents revealed a 17-year-old patient (PT1) had surgery and a walking cast applied at another hospital. The patient presented to the Corry Memorial Hospital Emergency Department on April 7, 2011, with a "wet, malodorous cast" and requested it be changed. EMP7 did not feel they should remove the cast. The patient was referred back to the hospital where the surgery was performed. There was no documentation that a medical screening examination was performed on PT1.

1. Review of facility documents revealed statements by EMP8, EMP9 and EMP10 describing the events surrounding PT1's Emergency Department (ED) visit. All statements confirmed that the patient did not receive a medical screening examination.