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.

HOLMES REGIONAL MEDICAL CENTER 1350 S HICKORY ST MELBOURNE, FL 32901 Aug. 8, 2011
VIOLATION: IMPLEMENTATION OF A DISCHARGE PLAN Tag No: A0820
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Based on record review and interview, the facility failed to provide instructions for care after discharge from the hospital for one of four patients (#10).
Findings included;
Closed medical record review for patient #10, [AGE], showed an admission on on 11/24/2010 with a diagnosis of respiratory failure and a discharge to a local shelter on 06/24/2011. The only discharge instruction found on the medical record are blank and do not document an explanation to the patient.
Review of the facility policy " Patient and Family Education " , revised 10/01/10 showed
" Discharge instructions will be provided to each patient upon discharge. "
During an interview on 08/08/2011 at at 4:00 p.m. the case management supervisor confirmed the discharge instructions were blank and said all patients receive discharge instructions and she thinks the original may have been sent with the patient. She attempted to to call the social worker at the shelter,but was unable to reach anyone.