Incomplete Discharge Summaries for Discharged Residents
Penalty
Summary
The facility failed to complete thorough discharge summaries for three residents who were discharged during the review period. For one resident admitted with a femur fracture and discharged home with home health services, the discharge summary did not specify the home health company, lacked post-discharge instructions, and omitted a recapitulation of the resident's stay. Another resident admitted with respiratory failure and discharged home did not have home instructions or a recapitulation of their stay included in the discharge summary. Similarly, a third resident admitted with anemia and discharged home was missing home instructions and a recapitulation of their stay in the discharge summary. In each case, the Director of Nursing Services confirmed that the discharge summary information assessments were not completed thoroughly.