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 July 5, 2013
VIOLATION: DISCHARGE PLAN Tag No: A0817
Based on record review, staff interview and policy review it was determined the facility failed to ensure the nurse documented accurately the disposition of the patient at the time of discharge for 1 (#1) of 10 sampled patients.

Findings include:

Review of the facility's policy "Patient Discharge", # 2.00.006.5, last reviewed 2/8/12, requires that following discharge of the patient, the Nurse is to document the time and date of the discharge, the destination, with whom the patient was discharged and the mode of transportation.

Patient #1's Social Work Discharge Disposition reveled patient #1 was discharged at 2:30 p.m. via a transport company. Review of the Inpatient Depart Patient Summary, documented by a Registered Nurse at 12:26 p.m. (two hours before the discharge) indicated the patient had been accompanied by the ex-spouse and was transported via private vehicle.

The patient was interviewed on 7/5/13 at approximately 11:40 a.m. He stated he was taken home in a van, not a private car. His ex-wife did not accompany him.

The Assistant Vice President for Nursing was interviewed on 7/5/13 at approximately 12:30 p.m. and confirmed the nurse failed to accurately document the patient's disposition.