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.

OCEANS BEHAVIORAL HOSPITAL OF PLANO 4301 MAPLESHADE LANE PLANO, TX Nov. 9, 2016
VIOLATION: REASSESSMENT OF DISCHARGE PLANNING PROCESS Tag No: A0843
Based on record review and interview the hospital failed to follow it's own policy and discharge a patient (Patient #7) after a 4-hour AMA Notice (Discharge Against Medical Advice) was submitted.

Findings Include:

The hospital 4-hour Discharge notice was submitted by Patient #7 on 03/05/16 at 15:45. It was signed by the nursing staff at 15:45 by family member on 03/05/16.

The hospital attending provider notated in the Physician Progress Note dated 03/07/16 at 0959, "It was my understanding that the patient [Patient #7] is here on an involuntary basis and has a pending court process. It is not an option for him to leave the faclity." leave the facility."

During an interview with Personnel #2, it is likely that the incident happened with the attending Physician. He was asked to resign due to his conduct with patients and family members. There were to many complaints coming in on hwo he treated the patients.

Policy
The hospital Discharge Planning Policy dated 01/11/16 reflected, " Discharge planning commences upon admission to any program ...The condition for discharge is when the optimal functioning level for the patient has been reached and the patient is able to function at a lower level of care or if the patient is need of services to reach optimal functioning level that are not provided within the facility, a transfer to a facility or a provider that provides that service may be initiated by agreement of the patient..."