Department of Health & Human Services

Centers for Medicare & Medicaid Services
Form Approved

OMB No. 0938-0391
Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number 713026 (X3) Date Survey Completed 04/09/2026
Name of Provider or Supplier Bogalusa Rehabilitation Hospital Street Address, City, State 621 Columbia Street, Bogalusa, LA
For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency.
(X4) ID Prefix Tag Summary Statement of Deficiencies

(Each deficiency should be preceded by full regulatory or LSC identifying information)
A0468 CONTENT OF RECORD: DISCHARGE SUMMARY
CFR(s): 482.24(c)(4)(vii)

[All records must document the following, as appropriate:] Discharge summary with outcome of hospitalization, disposition of care and provisions for follow-up care.


This STANDARD is not met as evidenced by:
Based on record review and interview, the hospital failed to ensure the discharge summary discussed the outcome of the hospitalization, disposition of care and provisions for follow-up care. This deficient practice was evidenced by: 1) Failure to identify the reason of patient discharge within 4 days of admissions with anticipated length of stay of 10-14 days in 1 (#5) of 30 medical records reviewed; and 2) Failure to update the nursing outcome of the hospitalization in 1 (#22) of 30 medical records reviewed. Findings: 1) Failure to identify the reason of patient discharge within 4 days of admissions with anticipated length of stay of 10-14 days in 1 (#5) of 30 medical records reviewed A review of Patient # 5's medical record revealed an admission date of 02/24/2026 and a discharge date of 02/28/2026. A review of the document titled, "Post-Admission Physical Examination: History and Physical," dated 02/24/2026 at 7:00 p.m. revealed in part, estimated length of stay of 10 - 14 days. A review of the document titled, "Physician Progress Note," dated 02/28/2026 at 12:30 p.m. and signed by S22MD on 02/28/2026 at 2:17 p.m. failed to reveal the patient was being discharge on this day and related reasoning of the unanticipated, early discharge of this patient. A review of the document titled, "Physician Discharge Summary," dated 03/01/2026 at 8:00 p.m. and signed by S22MD on 03/02/2026 at 8:54 p.m. failed to reveal to reveal the patient's the unanticipated, early discharge of this patient. A review of the document titled, "Nursing Shift Assessment," dated 02/28/2026 with a start time of 7:00 a.m. and an end time of 3:20 p.m. revealed a nurse entry by S4CDM at 3:19 p.m., "1519-Pt discharge to home in stable condition. Pt left the facility in private vehicle with caregiver. Med list and discharge instructions reviewed with Pt and caregiver. Pt and caregiver verbalized understanding." The nursing notes for this day fail to reveal any information as to the patient's unanticipated, early discharge. In an interview on 04/08/2026 at 9:40 a.m., S15PT confirmed Patient #5 was discharged early as she was missing her family. In an interview on 04/08/2026 at 9:40 a.m., S25Consult confirmed the above-mentioned findings and confirmed the discharge summary did not include the outcome of Patient #5's hospitalization as it related to her discharge within 4 days of admissions and recommended 10 - 14 days of inpatient treatment. 2) Failure to update the nursing outcome of the hospitalization in 1 (#22) of 30 medical records reviewed A review of Patient #22's medical record revealed an admission date of 11/11/2025 and a discharge date of 11/25/2025. A review of the document titled, "Weekly Team Conference," dated 11/11/2025 revealed the performance of this team conference on day 1 of the patient's admission. A review of the documentation from this conference revealed the category titled, "Functional Status Additional Status Updates" and the subcategory listed as "Nursing" had the comments, "New admit for debility r/t rhabdomyolysis, Noncompliant on medications at home." A review of the document titled, "Physician Discharge Summary" which was dated 12/02/2025 at 6:30 a.m. and signed by S21MD on 12/02/2025 at 7:31 a.m. revealed the category titled, "Functional Status Additional Status Updates" and the subcategory listed as "Nursing" had the comments, "New admit for debility r/t rhabdomyolysis, Noncompliant on medications at home." The discharge summary was not updated to reflect the outcome of the nursing care the patient received during the course of her admissions. In an interview on 04/08/2026 at 9:40 a.m., S25Consult confirmed the above-mentioned findings.