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5315 MILLENIUM DRIVE, NW HUNTSVILLE, AL 35806 | Proprietary

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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
Sep 16, 2021	11	0	0	11	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING STAFFING AND DELIVERY OF CARE Condition of Participation: Pharmaceutical Se PHARMACY ADMINISTRATION PHARMACIST RESPONSIBILITIES SAFETY FOR PATIENTS AND PERSONNEL ORGANIZATION PHYSICAL ENVIRONMENT FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM Treatment Plan
Sep 15, 2021	0	7	0	7	Read full report
Deficiencies cited in this report: Exit Signage Fire Alarm System - Initiation Corridors - Areas Open to Corridor Corridor - Doors Smoking Regulations Gas Equipment - Cylinder and Container Storag Features of Fire Protection - Other
Oct 17, 2019	2	0	0	2	Read full report
Deficiencies cited in this report: QUALIFIED DIRECTOR OF PSYCHIATRIC NURSING SERVICES SOCIAL SERVICES PROVIDED IN ACCORDANCE W/ STANDARDS
Sep 13, 2019 Follow-up to inspection on 2019-06-26*	2	0	0	2	Read full report
Deficiencies cited in this report: CHIEF EXECUTIVE OFFICER CONTENT OF RECORD: ORDERS DATED & SIGNED
Aug 12, 2019 Follow-up to inspection on 2019-06-26*	20	0	0	20	Read full report
Deficiencies cited in this report: GOVERNING BODY CHIEF EXECUTIVE OFFICER PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING NURSING SERVICES STAFFING AND DELIVERY OF CARE MEDICAL RECORD SERVICES CONTENT OF RECORD: ORDERS DATED & SIGNED FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM DELIVERY OF SERVICES SPECIAL MEDICAL RECORD REQUIREMENTS COMPLETE NEUROLOGICAL EXAM RECORDED AT TIME OF ADMISSION PSYCHIATRIC EVALUATION PSYCHIATRIC EVALUATION COMPLETED WITHIN 60 HRS OF ADMISSION PLAN INCLUDES SHORT TERM/LONG RANGE GOALS SPECIAL STAFF REQUIREMENTS FOR PSYCHIATRIC HOSPITALS ADEQUATE PERSONNEL TO EVALUATE PATIENTS NUM/QUAL OF MD/DO ADEQUATE TO PROVIDE PSYCH SERVICES TRAINING/EXPERIENCE REQUIREMENTS FOR DIRECTOR
Jun 26, 2019	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING
Jun 25, 2019 Follow-up to inspection on 2019-05-02*	1	0	0	1	Read full report
Deficiencies cited in this report: SECURE STORAGE
May 2, 2019	4	0	0	4	Read full report
Deficiencies cited in this report: SECURE STORAGE INDIVIDUAL COMPREHENSIVE TREATMENT PLAN SPECIAL STAFF REQUIREMENTS FOR PSYCHIATRIC HOSPITALS ADEQUATE STAFF TO PROVIDE NECESSARY NURSING CARE
May 23, 2018	4	0	0	4	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING STAFFING AND DELIVERY OF CARE MEDICAL RECORD SERVICES INFECTION CONTROL PROGRAM
May 22, 2018	0	3	0	3	Read full report
Deficiencies cited in this report: Subdivision of Building Spaces - Smoke Barrie Electrical Systems - Essential Electric Syste Gas Equipment - Qualifications and Training
Nov 9, 2017	5	0	0	5	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT ADMINISTRATION OF DRUGS INFECTION CONTROL PROGRAM
Nov 17, 2016	4	0	0	4	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: CONFIDENTIALITY OF RECORDS STAFFING AND DELIVERY OF CARE CONTENT OF RECORD INDIVIDUAL COMPREHENSIVE TREATMENT PLAN
Mar 30, 2016	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT VISITATION RIGHTS STAFFING AND DELIVERY OF CARE
Apr 30, 2015 Follow-up to inspection on 2015-03-11*	2	0	0	2	Read full report
Deficiencies cited in this report: ORGANIZATION OF REHABILITATION SERVICES PLAN INCLUDES SPECIFIC TREATMENT MODALITIES UTILIZED
Apr 28, 2015 Follow-up to inspection on 2015-03-10*	1	0	0	1	Read full report
Deficiencies cited in this report: PLAN INCLUDES SPECIFIC TREATMENT MODALITIES UTILIZED
Mar 11, 2015	20	0	0	20	Read full report
Deficiencies cited in this report: GOVERNING BODY MEDICAL STAFF - ACCOUNTABILITY PATIENT RIGHTS: CARE IN SAFE SETTING MEDICAL STAFF CREDENTIALING NURSING SERVICES STAFFING AND DELIVERY OF CARE PATIENT CARE ASSIGNMENTS MEDICAL RECORD SERVICES UNUSABLE DRUGS NOT USED PHYSICAL ENVIRONMENT INFECTION CONTROL PROGRAM HHA AND SNF REQUIREMENTS SPECIAL MEDICAL RECORD REQUIREMENTS PSYCHIATRIC EVALUATION COMPLETED WITHIN 60 HRS OF ADMISSION PSYCHIATRIC EVALUATION INCLUDES MEDICAL HISTORY RECORDS OF DISCHARGED PATIENTS INCLUDE DISCHARGE SUMMARY DISCHARGE SUMMARY INCLUDES RECOMMENDATIONS ON FOLLOWUP SPECIAL STAFF REQUIREMENTS FOR PSYCHIATRIC HOSPITALS MONITOR/EVALUATE QUALITY/APPROPRIATENESS OF SERVICES ADEQUATE STAFF TO PROVIDE NECESSARY NURSING CARE
Mar 11, 2015	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
Mar 10, 2015	20	0	0	20	Read full report
Deficiencies cited in this report: GOVERNING BODY MEDICAL STAFF - ACCOUNTABILITY PATIENT RIGHTS: CARE IN SAFE SETTING MEDICAL STAFF CREDENTIALING NURSING SERVICES STAFFING AND DELIVERY OF CARE PATIENT CARE ASSIGNMENTS MEDICAL RECORD SERVICES UNUSABLE DRUGS NOT USED PHYSICAL ENVIRONMENT INFECTION CONTROL PROGRAM HHA AND SNF REQUIREMENTS SPECIAL MEDICAL RECORD REQUIREMENTS PSYCHIATRIC EVALUATION COMPLETED WITHIN 60 HRS OF ADMISSION PSYCHIATRIC EVALUATION INCLUDES MEDICAL HISTORY RECORDS OF DISCHARGED PATIENTS INCLUDE DISCHARGE SUMMARY DISCHARGE SUMMARY INCLUDES RECOMMENDATIONS ON FOLLOWUP SPECIAL STAFF REQUIREMENTS FOR PSYCHIATRIC HOSPITALS MONITOR/EVALUATE QUALITY/APPROPRIATENESS OF SERVICES ADEQUATE STAFF TO PROVIDE NECESSARY NURSING CARE
Jul 15, 2013	15	0	0	15	Read full report
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION Standard-level Tag for Pharmaceutical Service PHARMACIST RESPONSIBILITIES PHARMACY PERSONNEL UNUSABLE DRUGS NOT USED FORMULARY SYSTEM ORGANIZATION INDIVIDUAL COMPREHENSIVE TREATMENT PLAN SPECIAL STAFF REQUIREMENTS FOR PSYCHIATRIC HOSPITALS ADEQUATE PERSONNEL TO PROVIDE ACTIVE TREATMENT QUALIFICATIONS OF DIRECTOR OF PSYCH NURSING SERVICES ADEQUATE STAFF TO PROVIDE NECESSARY NURSING CARE
Aug 21, 2012	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

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.

HospitalInspections.org

UNITY PSYCHIATRIC CARE - HUNTSVILLE

Complete reports and deficiency counts