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.

SPRINGBROOK HOSPITAL 7007 GROVE RD BROOKSVILLE, FL Jan. 4, 2011
VIOLATION: TRANSFER OR REFERRAL Tag No: A0837
Based on record review and interview the facility failed to provide an appropriate transfer to a facility for 1 of 5 sampled patients (#1).

Findings:

Review of the level II determination summary report for patient #1 reveals the following summary: "the patient was determined to be not appropriate for a nursing facility placement on 10/8/2010 due to irritability, aggression, and unstable mental status. [Patient #1] was discharged from the hospital to a nursing facility and continues to present with maladaptive behaviors and cannot be redirected by staff. [Patient #1] continues to be inappropriate for nursing facility placement and requires further mental health treatment to stabilize [the patient ' s] mental status."

Review of the Case Management notes for patient #1 reveals that the case manager documented on 98/2010 that the patient "will need a PASRR level II for placement in a SNF (skilled nursing facility)."

Review of the medical record for patient #1 reveals that the patient was discharged to a skilled nursing facility on 10/6/2010.

During interview with the social services lead coordinator on 1/4/2011 at 11:30 AM she stated that the Case Manager who completed the discharge planning for patient #1 is no longer at the hospital. She also stated that a level II evaluation should have been completed and a copy should be in the record.