However, a complaint survey conducted in mid-October was allegedly related to the death of a patient and resulted in NCH being placed under immediate jeopardy status for deficiencies in emergency services and its governing body.
According to CMS documents, proper procedures were not followed in the transfer of an 80-year old patient from an urgent care center to a nearby hospital for a higher level of care. "Transport orders contributed to the confusion as to the transport entity and where the patient was to be transported," says the survey.
In a POC submitted on October 28, Naples Community Health said it would audit emergency center transfers for 90 days to review its procedures related to patient transfers. A follow-up survey conducted in November determined that NCH was in compliance with Medicare participation rules and its immediate jeopardy status was lifted.
At that time, AHCA told hospital officials that the agency would return to "conduct a full Medicare survey."
That survey, conducted in December, re-imposed Naples Community Hospital’s immediate jeopardy status. In the POC submitted January 15, NCH officials outlined the steps it had already taken to meet the Medicare conditions of participation, including the establishment of a board quality committee to coordinate the hospital’s clinical improvement activities, creation of a multi-disciplinary quality assurance committee, and revision of its medications security procedures.
Since August 2011 HealthLeaders Media has reported on five hospitals or health systems that have faced the loss of the Medicare funds because of survey findings resulting in immediate jeopardy status: Parkland Memorial Hospital (Dallas), Methodist Dallas Medical Center, Grady Memorial Hospital (Atlanta), Cape Fear Valley Medical Center (Fayetteville, NC) and now Naples Community Hospital (FL).