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.
|SOUTHCOAST HOSPITALS GROUP||363 HIGHLAND AVENUE FALL RIVER, MA 02720||Feb. 24, 2011|
|VIOLATION: EMERGENCY ROOM LOG||Tag No: A2405|
|Base on documentation review it was determined Patient #1 ' s 2/11/11 presentation to Hospital #1 ' s ED was not recorded on the corresponding ED log.
Please see Tag A-2406 for information related to Patient #1 and his/her 2/11/11 ED presentation.
Review of the 2/11/11 ED log did not indicate Patient #1 ' s name appeared on the log.
|VIOLATION: MEDICAL SCREENING EXAM||Tag No: A2406|
|Based on interview and documentation review it was determined Hospital #1 failed to provide a MSE to Patient #1 on 2/11/11.
The Triage Nurse was interviewed in person on 2/24/11 at 12:00 PM. The Triage Nurse said at the same time Police Officer #1 approached the triage desk a telephone call was received from a near by Mental Health Center reporting there would be a patient arriving with police officers. The Triage Nurse said he/she replied they were here now (in Hospital #1's ED waiting area) and Police Officer #1, who was standing at the desk, asked if it was the Mental Health Center on the phone and stated he/she wanted to speak with them; upon which the phone was handed over to Police Officer #1. The Triage Nurse said he/she left the triage desk briefly and upon returning Police Officer #1 reported Patient #1 had, earlier that day, eloped from Hospital #2 and that they (the police officers) had had to sweet talk Patient #1 into coming to Hospital #1. The Triage Nurse said he/she stated to Police Officer #1 that it seemed that since Patient #1 had eloped from Hospital #2 the police had brought Patient #1 back to the wrong place; however they (Hospital #1) would be happy to see Patient #1 but for continuity of care it did seem that Patient #1 belonged at Hospital #2. The Triage Nurse said at this point two individuals sitting in the ED waiting area got up and walked out accompanied by Police Officer #2, who had also been in the waiting area, along with Police Officer #1.
There was no medical record associated with Patient #1 ' s 2/11/11 ED presentation.
Review of Patient #1 ' s medical record from Hospital #2 indicated on 2/11/11, at 9:58 PM Patient #1, under a section 12a (Application that when properly completed mandates an involuntary hospitalization until a formal psychiatric evaluation is completed), was brought to Hospital #2 ' s ED and received a MSE including medical and psychiatric evaluations. Patient #1 was determined to require an in patient psychiatric admission and a bed search was conducted. However while waiting for a psychiatric bed to be available Patient #1 stabilized and was discharged home, with comprehensive community services, from the ED on 2/15/11.