Based on interview, document review, and during a complaint investigation it was determined the facility staff failed to provide discharge plans, which included adequate pain control for one (1) of thirty (30) patients included in the survey sample that received emergency medical stabilizing treatment. (Patient #25) The findings included: Review of Patient #25's electronic medical record (EMR) documented the patient arrived via emergency medical transport on May 2, 2015 after a motorcycle accident. Patient #25's EMR documented the patient arrived at 7:48 p.m., was triaged for acuity at 7:57 p.m., and was seen by a physician by 8:12 p.m. on May 2, 2015. Patient #25's EMR documented laboratory and radiological studies were performed as part of the patient's medical screening examination. Patient #25's EMR included evidence of a consultation by the on-call orthopedist (Staff #32) related to the patient's fractures including the closed reduction of the right wrist fracture, splinting, and follow-up visit. Patient #25's EMR documented at 00:06 a.m. on May 3, 2015 the patient's pain level was documented as "0 [no pain]. Patient #25's EMR documented the patient was discharged at "01:56 [1:56 a.m.]" on May 3, 2015. The facility staff failed to document the patient's level of pain at discharge. Review of Patient #25's "Discharge - Home Instructions" read in part "your prescriptions were called into [name of a local pharmacy chain and their address]. Percocet/zofran/miralax." [According to www.drugs.com: "Percocet contains a combination of acetaminophen and oxycodone. Oxycodone is an opioid pain medication. An opioid is sometimes called a narcotic. Percocet is a narcotic pain reliever used to treat moderate to severe acute pain ... It is regulated as a schedule II medication by the Drug Enforcement Agency of the United States." "Zofran (ondansetron) blocks the actions of chemicals in the body that can trigger nausea and vomiting. Zofran is used to prevent nausea and vomiting that may be caused by surgery or by medicine to treat cancer ..." "MiraLax (polyethylene glycol 3350) is a laxative solution that increases the amount of water in the intestinal tract to stimulate bowel movements. MiraLax is used as a laxative to treat occasional constipation or irregular bowel movements ..."] A telephone interview was conducted on July 22, 2015 at 8:15 a.m., with Patient #25 and [his/her] spouse. Patient #25 deferred to his/her spouse to answer questions related to the patient's discharge and instructions. Patient #25's spouse reported when they arrived at the pharmacy they were not able to obtain the pain medication. Patient #25's spouse stated, "We had to wait until the pharmacy contacted the physician in the emergency department. A different medication was prescribed that did not work as well." Patient #25's spouse reported the patient was in pain until they went to a different hospital's ED on Monday May 4, 2015. A telephone interview was conducted on July 22, 2015 at approximately 9:09 a.m., with Staff #27. Staff #27 reported being familiar with Patient #25's May 2, 2015 emergency department (ED) visit. Staff #27 stated, "I was trying to help the family they requested I call in the prescriptions." Staff #27 reported the patient had not been given a hard copy for the Percocet prescription. Staff #27 stated, "I forgot Schedule II narcotics should not be called into a pharmacy. The pharmacy called and we were able to order something else for [his/her] pain." A telephone interview was conducted on July 22, 2015 at 2:01 p.m., with Staff #44. Staff #44 reported familiarity with Patient #25's case related to the facility's investigation of a complaint filed by Patient #25. Staff #44 reported Patient #25's EMR documented the eventual need for surgery for the right wrist once the swelling had subsided and Patient #25 had been given a follow-up appointment to see a wrist specialist within forty-eight (48) hours. Staff #44 stated, "There was no clear reason for hospitalization . The ongoing issues would be pain control, with a strong pain medication for home use." Staff #44 identified a flaw in Patient #25's discharge planning; "We do not telephone any medication order to pharmacy, just not our practice in the ED. [Staff #27's name] forgot Schedule II medication, Percocet, could not be phoned in."