The information below comes from the statement of deficiencies compiled by health inspectors and provided to AHCJ by the Centers for Medicare and Medicaid Services. It does not include the steps the hospital plans to take to fix the problem, known as a plan of correction. For that information, you should contact the hospital, your state health department or CMS. Accessing the document may require you to file a Freedom of Information Request. Information on doing so is available here.

BETHESDA HOSPITAL INC 2815 S SEACREST BLVD BOYNTON BEACH, FL 33435 May 16, 2017
VIOLATION: PATIENT RIGHTS: NOTICE OF RIGHTS Tag No: A0117
Based on facility document review, staff interviews and review of the facility's policy and procedure for restraints, it was determined the facility failed to ensure each patient's representative was notified when initiating restraints on 3 of 10 sampled patients (Patient # 7, 8, and 10).

The findings included:

Medical Record reviews conducted on 05/15/17 revealed restraints were initiated on Patients #7, 8, and 10. Review of the patient's records revealed the facility failed to notify the responsible party there was a change in condition of the patient and restraints were initiated.

Interview with the Quality Outcomes Liaison on 05/16/17 at approximately 10:00 AM revealed, after review of the medical records, there is no evidence the patient's responsible parties were notified when there was a change in condition of the patients and restraints were initiated.

Review of the facility's Restraint Policy revealed that prior to the application of a restraint and as needed during use, the nurse will discuss with the patient and family (as applicable) the reason for the use of a restraint, measures taken to protect patient dignity and rights, safety measures and criteria for the application and removal of restraints.

Interview with the Assistant Vice President of Patient Services on 05/16/17 at approximately 3:30 PM, revealed nursing staff is to notify family when there is a change in the patient's condition and restraints are initiated. The Assistant Vice President of Patient Services confirmed that attempting less restrictive alternatives prior to initiating a non-behavioral restraint on a patient is required and one of the first less restrictive attempts is to notify the family and ask if they would like to come and sit by the patient.