Every finding on record at Bridge Home Health

The following reflects the findings of the California Department of Public Health during an abbreviated standard survey. Complaint Number: 102187 Category: Nursing Services The investigation was limited to the specific complaint and does not represent the findings of a full inspection of the facility. Representing the California Department of Public Health: Health Facilities Evaluator Nurse 36471. A deficiency was identified under the Code of Federal regulations. See G 550.

At discharge CFR(s): 484.55(d)(3) At discharge. This ELEMENT is not met as evidenced by: Based on interview and record review, the agency failed to ensure the skilled nurse (SN) completed the summary of the progress toward meeting the care plan goals at the time of discharge for 1 of 2 sampled patients (1). This failure could affect the continuity of Patient 1's care and services. Findings: Patient 1 was admitted to the agency on 8/29/23 with diagnoses that included a pressure wound to the sacrum and was discharged on 9/18/23, per the Patient Information Report. A review of Patient 1's clinical records was conducted. Per the Visit Note dated 9/17/23, SN 1 conducted an as-needed visit because a family member reported that Patient 1 had abdominal pain. There was no documented evidence that the discharge summary was completed. On 3/18/24 at 4 P.M., a joint interview and record review were conducted with the Director of Patient Care Services (DPCS). The DPCS stated that Patient 1 had no consistent SN assigned, and the discharge summary was not completed as it should have been. On 3/20/24 at 4:05 P.M., an interview was conducted with SN 1. SN 1 stated she received a phone call from the agency requesting her to assess Patient 1 for abdominal pain. SN 1 further stated that she assessed Patient 1 on 9/17/23 and was unaware of the discharge plan on 9/18/23 . SN 1 stated that the discharge summary should have been completed for Patient 1 to ensure the continuity of care. Per the agency's policy and procedure dated 11/23, titled Discharge Criteria and Process, "...A discharge summary will be completed and filed in the clinical record..."