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 DAYTONA BEACH 301 MEMORIAL MEDICAL PARKWAY DAYTONA BEACH, FL 32117 Dec. 22, 2011
VIOLATION: POST-HOSPITAL SERVICES Tag No: A0808
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Based on record review and staff interview, the facility failed to implement a discharge plan for one (# 4) of 10 patients. Failing to complete discharge evaluations and to ensure availability of needed services may result in rehospitalization s or negative outcomes.

The findings include:

Patient #4 was admitted to the facility on [DATE] with multiple medical problems including abnormal heart rhythms. The patient was non compliant with lifestyle changes and opted for conservative medical management.

Record review of the medical record on 12/22/11 for Patient #4 revealed that the patient and family were presented with options for discharge planning. The patient's wife did not think that the patient was ready for hospice and the social worker documented that she would obtain home health care for the patient on 10/13/11. The patient was discharged on [DATE] without an order for home health care evaluation or any other services. There were no further notes to indicate that staff communicated with the physician regarding an order for home health or hospice evaluation. There was no coordination seen documented in the medical record between nursing and case management to follow up with the patient to reassess their discharge needs when the patient was discharged on the weekend.

Interview with the Social Worker at 4:30pm revealed that there were no orders for home health care; that the patient left on a Saturday. She stated that they get to people as soon as they can; that the order for routine consults for discharge planning was on every admission for every patient. The social worker stated that she attempted to see patients when they first come in and some days they were not able to see everyone in 24 hours. The social worker stated that her notes stated that she spoke to the patient about home health care but there was no order when he left on a Saturday. She stated that the patient's wife was not sure about hospice because the daughter was the one that brought up hospice to her.