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Based on review of policy and the Emergency Departments (ED) central log and interview, it was determined the facility failed to maintain a complete log of patients who presented to the ED. The failed practice did not allow the facility to track each patient, their condition, treatment, or disposition. The failed practice had the likelihood of affecting all patients presenting to the ED requesting care. Findings follow:

A. Review of policy titled "EMTALA Guidelines for Emergency Department Services" dated 01/30/25, showed the ED would maintain a central log documenting the name of the patient, if they refused treatment or were refused treatment, if the patient was admitted, transferred, stabilized and transferred, or discharged.
B. Review of two ED central logs books on 05/12/25 at 1:30 PM, showed missing information throughout each log. Missing information included the time patients presented, the nature of their injury, what services were rendered, and the disposition of care.
C. During an interview with the Director of the ED on 05/12/25 at 2:30 PM, she confirmed the findings in A and B.