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KINDRED HOSPITAL - SAN DIEGO
PATIENT RIGHTS: INFORMED CONSENT
Tag No.: A0131
Based on interview and record review, the facility failed to ensure the Admission Agreement (AA) were obtained or completed in a timely manner.
As a result, there was a potential treatments were performed without consents.
Findings:
A review of records was conducted. There were multiple signatures and certification documented on the AAs from two to 14 days after admission. One patient (Patient 27) did not have an AA on file. The facility was not able to provide documentations of the reasons for the delay in obtaining the signatures for the AAs.
On 1/30/25 at 2:36 P.M., an interview with the Chief Operating Officer (COO) was conducted. The COO stated the expectation was to have the AA signed on the same day of admission. The admissions staff responsible for completing the AAs was not available for interview.
Per the facility's provided document titled Specialty Hospital Division Financial Process and Procedure Manual dated 9/27/24, "02.5 Patient Admissions ...B. Completing Admission Forms ...Ensure ...the documents are signed by the patient/representative upon admission. Notify Controller/designee when signatures cannot be obtained and document reason."