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.

PARK ROYAL HOSPITAL 9241 PARK ROYAL DR FORT MYERS, FL 33908 July 10, 2018
VIOLATION: TRANSFER OR REFERRAL Tag No: A0837
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Based on closed patient records reviewed and staff, guardian and family interviews, the facility failed to discharge1 (Patient #1) of 10 patients appropriately.

The findings include:

1. A review of Patient #1's closed record showed she was discharged from this hospital on [DATE] to an address that is shown on her demographic sheet. A call was made to Patient #1's contact person that was mentioned on this demographic sheet. On 7/10/18 at 10:30 a.m., Patient #1's mother said she moved and the address mentioned on this demographic sheet was hers but has not lived there for over a year. She said Patient #1 lives in a group home.

On 7/10/18 at 10:35 a.m., Patient #1's legal guardian said Patient #1 was supposed to be discharged to her group home. The group home administrator called them on 6/7/18 to notify them Patient #1 has not arrived as of yet. A review of Patient #1's "Discharge Care Plan and Home Medication" form showed she was discharged to the address on the demographic sheet (her mother's old address).

On 7/10/18 at 10:30 a.m. the Director of Clinical Services reviewed Patient #1's record. She said Patient #1 was discharged to the address mentioned on the demographic sheet. She was not aware this address was not where she lives. Further review of Patient #1's record showed she lives at a group home but there was no address of the group home in her record.