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.

CHRISTUS SANTA ROSA HOSPITAL-SAN MARCOS 1301 WONDER WORLD DRIVE SAN MARCOS, TX 78666 July 15, 2019
VIOLATION: CONTENT OF RECORD - DISCHARGE SUMMARY Tag No: A0468
Based on a review of documents and interview the facility failed to ensure that discharge summaries for patients included the disposition of care and provisions for follow-up care.

Findings included:

Facility based policy entitled, "DISCHARGE SUMMARY- PHYSICIAN" stated in part,
"PROCEDURE
The discharge summary will include the following: ...
10. Where patient was discharged or transferred ..."

Review of the medical record for Patient #1 revealed the following:
The discharge summary on 02/19/19 stated in part,
"Transition Plan
Discharge Instruction(s):
Discharge to: Other healthcare institution Patient Condition at Discharge: Stable"

This discharge summary did not reflect the disposition of care including where the patient was discharged /transferred to per facility policy.

In an interview on 07/15/19 staff member #1 verified that the discharge summary for this pateint did not accurately reflect their disposition of care.