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.

KENDALL REGIONAL MEDICAL CENTER 11750 BIRD RD MIAMI, FL 33175 Sept. 12, 2012
VIOLATION: PATIENT RIGHTS: NOTICE OF RIGHTS Tag No: A0117
Based on record review and interview, the facility failed to ensure that the patient's next of kin is clearly informed of the patient's discharge in a timely manner in one (#1) of 14 sample patients.

The findings include:

Clinical record review of Sample Patient (SP)#1 conducted from 9-10-12 to 9-12-12 revealed that she was admitted into the facility's Behavioral Unit on 7-20-12 and discharged to an Assisted Living Facility [ALF] on 7-30-12 at 1447. Documentation of the Social Worker dated 7-30-12 at 1630 included but not limited to: "called the patient's daughter [named] ...informed her that patient was discharged to [ALF]."

Review of the Behavioral Unit Social Worker's notes conducted from 9-10-12 to 9-12-12 showed in part: "7-30-12 at 1427: Patient is scheduled to be discharged today by [Psychiatrist]. Patient is going to be discharged to [ALF]. Patient is going to be transported via ambulance. Patient and caregiver conveyed to writer for her safety and compliance with medication and follow-up appointments."

Interview with the Behavioral Unit Social Worker conducted on 9-10-12 at 330pm revealed that she spoke with SP#1's daughter at the time [7-30-12 at 1427] and got her agreement for the ALF placement. She stated that SP#1's daughter even agreed to the follow-up appointments with the Psychiatrist and Medical Physician who does rounds in the said ALF.

Interview with the Vice President of Quality Management conducted on 9-11-12 at 1150am confirmed that the Social Worker's documentation on 7-30-12 at 1427 showed communication with SP#1 and her daughter. He stated that the notes did not clearly state that SP#1's daughter was informed of the discharge to the ALF at the time (1427) compared to the clearer documentation at 1630 - "called the patient's daughter - informed her that patient was discharged to [ALF]."