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.

GRADY MEMORIAL HOSPITAL 80 JESSE HILL, JR DRIVE SE ATLANTA, GA 30303 June 15, 2016
VIOLATION: TIMELY DISCHARGE PLANNING EVALUATIONS Tag No: A0810
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Based on review of policies and procedures, medical records and staff interview, it was determined that the social worker/case manager failed to conduct within 24 hours, an initial discharged planning assessment for four (4) of nine (9) patients records reviewed.

Review of facility's policy entitled "Care Management (SW/NCM)" last revised 4/2012, revealed that care management would document an initial discharge planning assessment within 24 hours of admission to the unit/floor or on the first business day.

Review of the following patients' records revealed as follows:

1) Patient #4 was admitted on [DATE] at 1:31 p.m. and the initial discharge planning assessment was performed by the social worker/case manager on 4/13/16 at 6:18 p.m.

2) Patient #6 was admitted on [DATE] at 9:13 p.m., and did not have an initial discharge planning assessment until 5/18/16 at 1:23 p.m.

3) Patient #7 was admitted on ,d+[DATE]//16 at 7:11 p.m. and the initial discharge assessment was conducted on 5/5/16 at 4:10 p.m.

4) Patient #8 was admitted on [DATE] at 8:44 p.m. and the initial discharge assessment was not conducted until 5/25/16 at 3:29 p.m.

During an interview on 6/13/16 at 10:00 a.m., in a facilty conference room the Interim Patient Safety Officer acknowledged the above findings.