| Aug 10, 2023 | 13 | 0 | 3 | 16 | Read full report |
Deficiencies cited in this report: QAPI GOVERNING BODY, STANDARD TAG STAFFING AND DELIVERY OF CARE NURSING CARE PLAN MEDICAL RECORD SERVICES ORGANIZATION AND STAFFING CONTENT OF RECORD: ORDERS DATED & SIGNED CONTENT OF RECORD: STANDING ORDERS DIRECTOR OF DIETARY SERVICES QUALIFIED DIETITIAN DIETS MAINTENANCE OF PHYSICAL PLANT FREEDOM FROM ABUSE, NEGLECT, AND EXPLOITATION DENTAL SERVICES Develop EP Plan, Review and Update Annually Development of EP Policies and Procedures EP Training Program |
| Aug 9, 2023 | 0 | 7 | 0 | 7 | Read full report |
Deficiencies cited in this report: Cooking Facilities Fire Alarm System - Testing and Maintenance Sprinkler System - Installation Sprinkler System - Maintenance and Testing HVAC Fire Drills Electrical Systems - Essential Electric Syste |
May 20, 2021 Follow-up to inspection
on 2021-04-01* | 5 | 0 | 0 | 5 | Read full report |
Deficiencies cited in this report: COMPLIANCE WITH 489.24 ON CALL PHYSICIANS MEDICAL SCREENING EXAM STABILIZING TREATMENT APPROPRIATE TRANSFER |
| Apr 1, 2021 | 7 | 0 | 0 | 7 | Read full report |
Deficiencies cited in this report: COMPLIANCE WITH 489.24 HOSPITAL MUST MAINTAIN RECORDS ON CALL PHYSICIANS EMERGENCY ROOM LOG MEDICAL SCREENING EXAM STABILIZING TREATMENT APPROPRIATE TRANSFER |
| Jun 27, 2018 | 9 | 0 | 0 | 9 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: INFORMED CONSENT DATA COLLECTION & ANALYSIS CONTENT OF RECORD: DISCHARGE SUMMARY UNUSABLE DRUGS NOT USED PHYSICAL ENVIRONMENT FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM DELIVERY OF SERVICES No Description Available |
| Jun 27, 2018 | 0 | 4 | 0 | 4 | Read full report |
Deficiencies cited in this report: Cooking Facilities Fire Alarm System - Installation HVAC Electrical Equipment - Testing and Maintenanc |
Jun 17, 2015 Follow-up to inspection
on 2015-04-29* | 8 | 0 | 0 | 8 | Read full report |
Deficiencies cited in this report: CHIEF EXECUTIVE OFFICER EMERGENCY SERVICES PATIENT RIGHTS: INFORMED CONSENT STAFFING AND DELIVERY OF CARE CONTENT OF RECORD: ORDERS,NOTES,REPORTS DELIVERY OF DRUGS QUALIFIED DIETITIAN HHA AND SNF REQUIREMENTS |
| May 6, 2015 | 0 | 11 | 0 | 11 | Read full report |
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available |
| Apr 29, 2015 | 20 | 0 | 0 | 20 | Read full report |
Deficiencies cited in this report: GOVERNING BODY MEDICAL STAFF - APPOINTMENTS EMERGENCY SERVICES PATIENT RIGHTS: INFORMED CONSENT STAFFING AND DELIVERY OF CARE ORDERS FOR DRUGS AND BIOLOGICALS CONTENT OF RECORD: ORDERS,NOTES,REPORTS Standard-level Tag for Pharmaceutical Service PHARMACIST RESPONSIBILITIES DELIVERY OF DRUGS SECURE STORAGE UNUSABLE DRUGS NOT USED ORGANIZATION QUALIFIED DIETITIAN PHYSICAL ENVIRONMENT MAINTENANCE OF PHYSICAL PLANT INFECTION CONTROL PROGRAM No Description Available HHA AND SNF REQUIREMENTS No Description Available |
Jul 27, 2012 Follow-up to inspection
on 2012-05-01* | 0 | 2 | 0 | 2 | Read full report |
Deficiencies cited in this report: No Description Available No Description Available |
Jun 12, 2012 Follow-up to inspection
on 2012-05-03* | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: PHYSICAL ENVIRONMENT |
Jun 7, 2012 Follow-up to inspection
on 2012-05-01* | 0 | 7 | 0 | 7 | Read full report |
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available |
| May 3, 2012 | 18 | 0 | 0 | 18 | Read full report |
Deficiencies cited in this report: GOVERNING BODY MEDICAL STAFF - BYLAWS AND RULES PATIENT RIGHTS: GRIEVANCES PATIENT RIGHTS: INFORMED CONSENT NURSING SERVICES RN SUPERVISION OF NURSING CARE PATIENT CARE ASSIGNMENTS ORDERS FOR DRUGS AND BIOLOGICALS CONTENT OF RECORD: ORDERS,NOTES,REPORTS ADEQUACY OF LABORATORY SERVICES PHYSICAL ENVIRONMENT FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROFESSIONAL INFECTION CONTROL PROGRAM INFECTION CONTROL SURVEILLANCE, PREVENTION No Description Available ORGANIZATION OF REHABILITATION SERVICES |
| May 1, 2012 | 0 | 18 | 0 | 18 | Read full report |
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available |
