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.

MEDICAL CENTER OF TRINITY 9330 SR 54, STE 401 TRINITY, FL 34655 April 21, 2011
VIOLATION: DISCHARGE PLAN Tag No: A0817
Based on clinical record and policy review and staff interview it was determined that the facility failed to perform Pre-Admission Screening and Resident Review for six (#1, #3, #4, #5, #6, #9) of six patients transferred to a Skilled Nursing Facility. This practice does not ensure patients are appropriately screened for placement.

Findings include:

42 CFR 483.100 requires that the facility transferring a patient to a Skilled Nursing Facility (SNF) ensures that a Pre-Admission Screening and Resident Review (PASRR) be completed prior to the patient's being transferred to the SNF to ensure appropriate placement.


1. Review of the clinical records for patients #1, #3, #4, #5, #6, and #9 revealed they were transferred to a SNF for continuing care. The records had no evidence the PASRR was completed prior to the transfer.

2. A interview was conducted on 4/20/11 at 12:42 p.m. with the second floor Case Manager. When questioned if she completes the PASRR for patients that are being transferred to a SNF, she stated that she did not.

Interview on 4/20/11 at 11:40 a.m. with the Director of Case Management revealed the facility had no policy on completing the PASRR. She stated it was done by the receiving SNF.