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.

MCLAREN PORT HURON 1221 PINE GROVE AVE PORT HURON, MI 48060 July 23, 2012
VIOLATION: COMPLIANCE WITH 489.24 Tag No: A2400
Based on record review and interview, it was determined that the facility failed to comply with the requirements of 42 CFR 489.24 [special responsibilities of Medicare hospitals in emergency cases], specifically the recipient hospital responsibilities. See A2411.
VIOLATION: RECIPIENT HOSPITAL RESPONSIBILITIES Tag No: A2411
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**


Based on record review and interview, the facility failed to accept an appropriate transfer of an individual (patient #30) from a referring hospital whom the facility had the capacity to treat. Findings include:

On 07/23/12 at approximately 10:30 AM during a phone interview, it was determined that the ER physician at hospital #1 called the emergency department at hospital #2 on 07/15/12 at approximately 8:00 PM regarding the need to transfer a [AGE] year old female patient (patient #30) to ENT specialist. Patient #30's family requested the transfer to that facility. At approximately 8:00 PM the ER physician from facility #1 called facility #2 to inform them that the ENT specialist refused the transfer of patient #30 due to the severity of the diagnosis ( Acute left peritonsillar abscess, failure of outpatient therapy, and recent positive mono spot), the length of the transfer time, and the distance of the transferring hospitals location. At 9:26 PM hospital #1 arranged a transfer for patient #30 to hospital #3.

On 07/23/12 at approximately 12:05 PM, during an interview with physician #3, it was determined that the physician stated he did refuse to accept patient #30 due to the diagnosis of the patient and distance between the two facilities, that it was unsafe to accept the [AGE] year old female patient.