HospitalInspections.org

Based on record review and interview the facility failed to implement the policy to ensure an appropriateness of the discharge plan in 1 out of 10 sampled patients (sample patient #1).

The findings include:

Record review of SP#1 clinical record on 07/07/2014 revealed that the facility received the patient from a skilled nursing facility. Review of the nursing notes dated 05/29/2014; SP #1 was discharged with a list of prescriptions for his discharge medications.
This record review further reveal the patient was originally from the State Hospital, and was currently admitted due to schizoaffective disorder, manic behavior, disorganized thoughts, acute exacerbation of hallucinations and delusions, acute onset of inability to cope with stress, and inability to attend to self or attend to activities of daily living. Review of the discharge summary dated 05/29/2014 at 10: 47 am has that the patient was discharged to an Assisted Living (Facility).

On 07/07/2014 during an interview with the Social Worker at 11:55 am revealed that the Social Worker was aware of the skilled nursing facility that SP#1 came from, that he was being discharged to a half way house, and that the patient was originally from the State Hospital.

During an interview with the Director of Case Management on 07/07/2014 at 02:30 pm revealed that the Director of Case Management was aware that SP#1 had been discharged to a half way house, with an explanation that SP#1 had used up his 100 skill days per episode of care and therefore unable to go to a nursing home.

Review of the policy subject: Discharge Planning Generalized revealed that discharge planning is the coordination of services that facilitate the continuity of health care.
The development of the discharge plan is based on the patient's needs and availability of patient/family resources along with internal and external resources necessary to carry out the plan. Community and/or institutional resources may be mobilized as needed.

Based on record review and interview the facility failed to implement the policy to ensure an appropriateness of the discharge plan in 1 out of 10 sampled patients (sample patient #1).

The findings include:

Record review of SP#1 clinical record on 07/07/2014 revealed that the facility received the patient from a skilled nursing facility. Review of the nursing notes dated 05/29/2014; SP #1 was discharged with a list of prescriptions for his discharge medications.
This record review further reveal the patient was originally from the State Hospital, and was currently admitted due to schizoaffective disorder, manic behavior, disorganized thoughts, acute exacerbation of hallucinations and delusions, acute onset of inability to cope with stress, and inability to attend to self or attend to activities of daily living. Review of the discharge summary dated 05/29/2014 at 10: 47 am has that the patient was discharged to an Assisted Living (Facility).

On 07/07/2014 during an interview with the Social Worker at 11:55 am revealed that the Social Worker was aware of the skilled nursing facility that SP#1 came from, that he was being discharged to a half way house, and that the patient was originally from the State Hospital.

During an interview with the Director of Case Management on 07/07/2014 at 02:30 pm revealed that the Director of Case Management was aware that SP#1 had been discharged to a half way house, with an explanation that SP#1 had used up his 100 skill days per episode of care and therefore unable to go to a nursing home.

Review of the policy subject: Discharge Planning Generalized revealed that discharge planning is the coordination of services that facilitate the continuity of health care.
The development of the discharge plan is based on the patient's needs and availability of patient/family resources along with internal and external resources necessary to carry out the plan. Community and/or institutional resources may be mobilized as needed.