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.

MARION COMMUNTIY HOSPITAL 1431 SW 1ST AVE OCALA, FL 34478 June 30, 2015
VIOLATION: IMPLEMENTATION OF A DISCHARGE PLAN Tag No: A0820
Based on interviews and record reviews, the facility failed to arrange a safe discharge and to implement a discharge plan for 1 ( patient # 9), of 9 patients reviewed.

Findings:

During an interview on 06/30/15 at 8:15 AM, with complainant, ( patient # 9), states that she was notified that she was to be discharged , when the PCC ( Patient Care Clinician) entered the room and stated you are discharged . The complainant requested assistance with obtaining medical supplies, that included oxygen and alerted the PCC that she needed help once she gets home. Stating she did not have adequate notice to arrange for family assist. Requested to see a social worker prior to leaving the facility which did not occur. the complainant also stated that she was not given notice of any right to appeal the discharge.

During an interview on 06/30/15 at 3:06 PM, with social worker, who states she could not deny or could not recall, visiting with the patient on the discharge date .

Record review shows that the initial discharge plan was for family to assist complainant home. The complainant stated she was not informed of her discharge until the PCC came into her room and announced to her she was discharged . The discharge plan was not followed.
VIOLATION: DISCHARGE PLANNING Tag No: A0799
Based on interview, record review,and review of policy/procedures, the facility failed to provide a safe discharge for 1 ( patient # 9), out of 9 patients reviewed.


Findings:

During an interview on 06/30/15 at 8:15 AM, with complainant, states that she was notified of an discharge abruptly,when someone came into the room to discharge her. The complainant requested assistance with obtaining medical supplies , that included oxygen and alerted the patient care clinician ( PCC), that she needed help get into her home. Stating she did not have adequate notice to arrange for family assistance. Requested to see a Social worker prior to leaving the facility which did not occur. the complainant also stated that she was not given notice of any right to appeal the discharge.

During an interview on 06/30/15 at 3:06 PM, with social worker, who states she could not deny or could not recall, visiting with the patient on the discharge date .

Record review the initial discharge plan was for family to assist the complainant at home. The complainant stated she was not informed of her discharge until the PCC came into her room and announced to her she was discharged . The discharge plan was not followed.

Record review of the policy titled, " Discharge Planning" dated 10/19/11, shows that Case Management consults for discharge planning can be requested any time during patient's hospitalization . The Case Management notes will be completed within 2 days of the request and documented in the medical record.

Review of patient's # 9 medical record, did not show that there was any visit made to the patient by the case manager, prior to discharge, after patient request. Nurses notes on day of discharge show that under home care, needs and equipment, that an N ( stands for a No in the computer) was documented.