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.

LAKELAND REGIONAL MEDICAL CENTER 1324 LAKELAND HILLS BLVD LAKELAND, FL 33805 May 1, 2017
VIOLATION: IMPLEMENTATION OF A DISCHARGE PLAN Tag No: A0820
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Based on review of medical records and staff interview it was determined the facility failed to ensure the patient's family was educated to meet the patient's needs at home post-discharge for one (#7) of ten patients sampled.

Findings included:

Review of the medical record for patient #7 revealed the patient was admitted on [DATE]. Review of the nursing assessment dated [DATE] revealed the patient required total care with all ADLs (Activities of Daily Living).

Review of the patient's plan of care revealed discharge planning was developed for the patient. The plan revealed the patient would be discharged home with home health care services. Review of the medical record revealed the patient's parent was the primary caregiver at home.

Review of the record revealed the patient had a feeding tube placed during the admission. The patient was to be discharged home with the feeding tube with continuous feedings administered. Review of the nursing documentation revealed no evidence the patient's primary caregiver at home was educated about the patient's post-hospital needs related to the patient's recently placed feeding tube and need for continuous feedings.

Interview and review of the medical record with the Quality Manager on 5/2/2017 at 4:00 p.m. confirmed the above findings.