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295 JACKSON HWY S GROVE HILL, AL 36451 | Government - Hospital District or Authority

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Health deficiencies are assigned during inspections that assess compliance with rules related to patient health and safety. Examples include violations of patients' rights and safety standards, as well as the administration of drugs and other treatments.

Life Safety deficiencies are assigned during inspections that assess a facility's compliance with National Fire Protection Association codes related to life safety in health care facilities. They are often conducted in tandem with health inspections. Examples include faulty or improperly maintained fire suppression and electrical systems.

Emergency Preparedness deficiencies can be cited during either a health or life safety inspection and relate to violations of CMS' Emergency Preparedness Rule. Examples include a lack of emergency plans, inadequate staff training and insufficient emergency supplies.

Complete reports and deficiency counts

Report date	Health Deficiencies	Life Safety	Emergency Preparedness	Total
Aug 25, 2023	0	20	0	20	Read full report
Deficiencies cited in this report: Horizontal Exits Emergency Lighting Alcohol Based Hand Rub Dispenser (ABHR) Fire Alarm System - Testing and Maintenance Fire Alarm System - Out of Service Sprinkler System - Maintenance and Testing Sprinkler System - Out of Service Portable Fire Extinguishers Corridors - Construction of Walls Corridor - Doors Subdivision of Building Spaces - Smoke Barrie HVAC Smoking Regulations Portable Space Heaters Gas and Vacuum Piped Systems - Inspection and Electrical Systems - Maintenance and Testing Electrical Systems - Essential Electric Syste Electrical Systems - Essential Electric Syste Electrical Systems - Essential Electric Syste Electrical Equipment - Power Cords and Extens
Aug 24, 2023	14	0	0	14	Read full report
Deficiencies cited in this report: GOVERNING BODY CONTRACTED SERVICES PATIENT RIGHTS: CARE IN SAFE SETTING STAFFING AND DELIVERY OF CARE CONTENT OF RECORD: ORDERS DATED & SIGNED CONTENT OF RECORD: CONSULTATIVE RECORDS SECURE STORAGE UNUSABLE DRUGS NOT USED QUALIFIED STAFF DIRECTOR OF DIETARY SERVICES PHYSICAL ENVIRONMENT FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROGRAM
Jan 25, 2018	0	9	0	9	Read full report
Deficiencies cited in this report: Building Construction Type and Height Stairways and Smokeproof Enclosures Aisle, Corridor, or Ramp Width Hazardous Areas - Enclosure Fire Alarm System - Testing and Maintenance Sprinkler System - Maintenance and Testing Subdivision of Building Spaces - Smoke Barrie Electrical Systems - Essential Electric Syste Gas Equipment - Qualifications and Training
Jan 24, 2018	15	0	0	15	Read full report
Deficiencies cited in this report: MEDICAL STAFF - BYLAWS AND RULES PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION STAFFING AND DELIVERY OF CARE NURSING CARE PLAN ADMINISTRATION OF DRUGS VERBAL ORDERS FOR DRUGS CONTENT OF RECORD CONTENT OF RECORD: HISTORY & PHYSICAL UNUSABLE DRUGS NOT USED ORGANIZATION THERAPEUTIC DIET MANUAL PHYSICAL ENVIRONMENT FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM
Feb 9, 2017	5	0	0	5	Read full report
Deficiencies cited in this report: COMPLIANCE WITH 489.24 MEDICAL SCREENING EXAM STABILIZING TREATMENT DELAY IN EXAMINATION OR TREATMENT APPROPRIATE TRANSFER
Sep 24, 2014 Follow-up to inspection on 2014-07-31*	1	0	0	1	Read full report
Deficiencies cited in this report: STAFFING AND DELIVERY OF CARE
Aug 5, 2014	0	16	0	16	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
Jul 31, 2014	21	0	0	21	Read full report
Deficiencies cited in this report: GOVERNING BODY CARE OF PATIENTS PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION QAPI QAPI GOVERNING BODY, STANDARD TAG QAPI EXECUTIVE RESPONSIBILITIES NURSING SERVICES STAFFING AND DELIVERY OF CARE PHARMACIST RESPONSIBILITIES UNUSABLE DRUGS NOT USED PHYSICAL ENVIRONMENT MAINTENANCE OF PHYSICAL PLANT FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE VENTILATION, LIGHT, TEMPERATURE CONTROLS INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROGRAM No Description Available OPERATING ROOM POLICIES ORGANIZATION AND DIRECTION
Dec 27, 2011 Follow-up to inspection on 2011-11-16*	0	2	0	2	Read full report
Deficiencies cited in this report: No Description Available No Description Available
Nov 17, 2011	6	0	0	6	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: GRIEVANCES ADMINISTRATION OF DRUGS SECURE STORAGE CONTROLLED DRUGS KEPT LOCKED PHYSICAL ENVIRONMENT OPERATING ROOM POLICIES
Nov 16, 2011	0	40	0	40	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 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 No Description Available No Description Available No Description Available No Description Available
Mar 10, 2011	2	0	0	2	Read full report
Deficiencies cited in this report: CONTENT OF RECORD FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE

Some state health departments and regional offices of the Centers for Medicare and Medicaid Services sometimes did not upload their inspection reports into a central computer system that could then be shared by us. In such cases, CMS identified the dates of the missing inspections and the number of deficiencies identified. You can request the actual reports from CMS or your state health department.

* Deficiencies cited in follow-up inspections are not counted toward a facility's total deficiency count.

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GROVE HILL MEMORIAL HOSPITAL

Complete reports and deficiency counts