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.

BAPTIST MEDICAL CENTER 111 DALLAS STREET SAN ANTONIO, TX 78205 Oct. 14, 2011
VIOLATION: TRANSFER OR REFERRAL Tag No: A0837
1. Based on a review of facility documents, and interviews with staff it was determined that facility failed to provide an appropriate transfer of patient.

Findings:

1. Reviewed medical records for both patients and found that in both cases a proper transfer was not done, a memorantum of transfer was not found in either medical record. Patient became aggressive and disruptive and staff called San Antonio Police who arrested patient and took them to another facility.

2. Interviews with staff revealed that in both cases patients became aggressive and staff called San Antonio Police who took patient into custody for an emergency detention due to danger to self and others.
VIOLATION: MEDICAL SCREENING EXAM Tag No: A2406
Based on a review of facility documents, and interviews with staff it was determined that facility failed to provide an appropriate medical screening of patient.

Findings:

1. Reviewed medical records for both patients and found that in both cases a proper medical screening was not conducted, both patients reported to the emergency room for conditions that required a psychiatric evaluation, and the facility did not provide a psychiatric evaluation.

2. Interviews with staff #3. revealed that in patient #1, physician was not able to conduct a full evaluation due to other staff calling San Antonio Police when patient became aggressive, when physician returned to patient room, patient had been arrested and taken out of facility.