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.
|BAPTIST MEDICAL CENTER||111 DALLAS STREET SAN ANTONIO, TX 78205||July 14, 2021|
|VIOLATION: CONTENT OF RECORD - DISCHARGE SUMMARY||Tag No: A0468|
|**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**
Based on medical record review and interview, the hospital did not meet the requirement because the medical record for Patient #1 did not include a discharge summary.
Review of the medical record for Patient #1 on 07/12/21 at 10:00 a.m. with S#1 in a conference room revealed that the medical record for Patient #1 who was discharged from the hospital on [DATE] did not contain a discharge summary.
During a telephone interview with S#9 and in the presence of S#1 on 07/12/14 at 10:16 a.m., S#9 confirmed that the medical record for Patient #1 who was discharged from the hospital on [DATE] did not contain a discharge summary.