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.

ADVENTHEALTH NORTH PINELLAS 1395 S PINELLAS AVE TARPON SPRINGS, FL 34689 May 27, 2015
VIOLATION: DISCHARGE PLANNING Tag No: A0812
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Based on review of facility policy and procedures, medical record review and staff interview it was determined the facility failed to ensure a discharge planning evaluation was documented in the patient's medical record for one (#5) of ten records sampled to use in establishing an appropriate discharge plan.

Findings include:

Review of the facility policy "Discharge Planning" last revised 1/2014, stated Procedure (A) Assessment (5) the case manager conducts discharge planning assessment within 48 hours of admission or within 24 hours of receipt of a referral for discharge planning; (6) the case manager monitors the needs of the patient on an ongoing basis throughout the hospital stay and prior to discharge to determine whether a change in the status of the patient and/or caregiver indicates a need to modify the discharge plan.

Patient #5 was admitted on [DATE] and discharged on [DATE] to the facility's in-house rehabilitation unit. Review of the record revealed no evidence a case manager completed a discharge plan evaluation.

Interview with the Director of Case Management on 5/27/2015 at approximately 4:40 p.m. confirmed the findings.