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.

MAYHILL HOSPITAL 2809 SOUTH MAYHILL ROAD DENTON, TX 76208 April 28, 2011
VIOLATION: PATIENT RIGHTS: PARTICIPATION IN CARE PLANNING Tag No: A0130
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Based on record review and interview, one of one patient's legal guardian (Patient #1) did not participate in the revision of the patient's care plan, in that the patient's condition deteriorated and the patient was transferred to a state mental health facility without the guardian being notified until the transfer had occurred.

Findings included:

1) The patient was admitted to the facility on [DATE] with a care plan that included she would discharge to a group home.
2) On 03/14/11 the physician wrote "to get the program staff involved in developing after care plan." On 03/15/11 the physician wrote that the patient was near base line and a care plan needed to be in place.
3) On 03/17/11 the case worker wrote at 11:20 AM that she had spoken with the guardian to inform her that the patient would be transferred that day to a state hospital in north Texas.
4) In an interview with the surveyor at noon on 04/28/11 the CNO was asked if there was evidence of the guardian participating in the changed care plan. She confirmed there was not. She was asked if there were any other documents that included a change in the care plan before the day the patient left the facility. She confirmed there were not.