Based on records reviewed and interview, the Hospital failed to ensure a complete (accurate) Central Log for 2 of 30 patients (Patients #4 and #12) that came to the Emergency Department seeking assistance. Findings included: 1.) The Central Log, dated 1/14/17, indicated the Hospital transferred Patient #4 to an Outside Hospital. The Emergency Department Physician Note, dated 1/14/17 at 11:10 P.M., indicated an Emergency Department Physician evaluated Patient #4 safe for discharge with instructions for evaluation of an orbital (bone around the eye) fracture and transfer by car directly to the Outside Hospital. The Authorization for Transfer Form, dated 1/25/17, indicated a private car transferred Patient #4 to the Outside Hospital. 2.) The Central Log, dated 1/21/17, indicated the Hospital transferred Patient #12 to an Outside Hospital. The Emergency Department Physician Note, dated 1/21/17 at 10:27 A.M., indicated an emergency room Physician evaluated Patient #12 safe for discharge and recommended Patient #12 be evaluated at an Outside Hospital. The Authorization for Transfer Form, dated 1/25/17, indicated the Hospital did not transfer Patient #12 to an Outside Hospital. The Authorization for Transfer Form indicated a private car transferred Patient #12 to the Outside Hospital. The Surveyor interviewed the Emergency Department Medical Chair Person at 11 A.M. on 3/8/17. The Emergency Department Medical Chair Person said in review of Patients #4 and Patient #12's medical records, they were stable (safe) for discharge and could driven by private car to the Outside Hospital for follow-up care. The Emergency Department Medical Chair Person said he did not know why Emergency Department Physicians documented in Patient #4 and Patient #12's Medical Records using the Authorization for Transfer Form.