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Based on review 1 of 1 medical records, interview and hospital policy the facility failed to document information necessary for continuity of care during discharge of the patient.

On 9/16/2010 at 12:00 noon a review of 1 of 1 medical records revealed the patient to have a positive sputum culture for Methicillin resistant Staphylococcus aureus (MRSA)on 5/14/2010 and again on 5/22/2010. The patient was discharged on 5/31/2010. The discharge plan does not reflect MRSA.

Staff member # 4, was questioned regarding what documentation was included in the discharge, she replied "Our usual routine is to fax all the Medical Record to the Nursing Home So they can review it. They won't take them otherwise". When further questioned regarding who was responsible to fax this information she replied. "Well the nurse is".

A review of the hospital policy for discharge reveals the discharge plan and implementation is the responsibility of the Case Manager.

Policy: Discharge Planning Process Overview ; Quality and Clinical Excellence 870. Effective Date 1/1/2010.

Page 5, Section N) It is the responsibility of the case management department to process referrals to the aftercare providers. Liaisons from aftercare provider agencies , such as nursing homes....may not perform this function case manager will review the discharge instructions/discharge packet with the patient prior to discharge and provide the patient and the follow-up caregivers with a copy of the packet. A copy of the discharge instructions and referral information are sent to the follow-up physician and appropriate aftercare providers to promote continuity of care.