| Aug 15, 2024 | 0 | 6 | 1 | 7 | Read full report |
Deficiencies cited in this report: Subsistence Needs for Staff and Patients Clear Width of Exit and Exit Access Doors Laboratories Sprinkler System - Installation Sprinkler System - Maintenance and Testing Electrical Systems - Essential Electric Syste Electrical Equipment - Power Cords and Extens |
| Jul 29, 2024 | 24 | 0 | 0 | 24 | Read full report |
Deficiencies cited in this report: GOVERNING BODY CHIEF EXECUTIVE OFFICER PATIENT RIGHTS: NOTICE OF RIGHTS PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION PATIENT SAFETY MEDICAL STAFF BYLAWS VERBAL ORDERS FOR DRUGS MEDICAL RECORD SERVICES PROTECTING PATIENT RECORDS CONTENT OF RECORD: ORDERS DATED & SIGNED CONTENT OF RECORD: ORDERS,NOTES,REPORTS FOOD AND DIETETIC SERVICES ORGANIZATION DIRECTOR OF DIETARY SERVICES COMPETENT DIETARY STAFF THERAPEUTIC DIET MANUAL APPLICABILITY MAINTENANCE OF PHYSICAL PLANT INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL SURVEILLANCE, PREVENTION IC PROFESSIONAL TRAINING IC PROFESSIONAL ADHERENCE TO POLICIES OPERATING ROOM POLICIES EMERGENCY SERVICES POLICIES |
| Jul 25, 2024 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: COMPLIANCE WITH 489.24 |
| Jul 15, 2021 | 1 | 0 | 5 | 6 | Read full report |
Deficiencies cited in this report: MEDICAL STAFF - ACCOUNTABILITY Plan Based on All Hazards Risk Assessment Methods for Sharing Information EP Training Program EP Testing Requirements Integrated EP Program |
| Jul 15, 2021 | 0 | 8 | 0 | 8 | Read full report |
Deficiencies cited in this report: Means of Egress - General Alcohol Based Hand Rub Dispenser (ABHR) Portable Fire Extinguishers Subdivision of Building Spaces - Smoke Barrie Utilities - Gas and Electric Electrical Equipment - Power Cords and Extens Gas Equipment - Cylinder and Container Storag Gas Equipment - Qualifications and Training |
| Aug 22, 2019 | 6 | 0 | 3 | 9 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE Plan Based on All Hazards Risk Assessment Local, State, Tribal Collaboration Process Roles Under a Waiver Declared by Secretary |
| Aug 22, 2019 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: STAFFING AND DELIVERY OF CARE |
| Aug 20, 2019 | 0 | 14 | 0 | 14 | Read full report |
Deficiencies cited in this report: Means of Egress - General Aisle, Corridor, or Ramp Width Emergency Lighting Exit Signage Hazardous Areas - Enclosure Alcohol Based Hand Rub Dispenser (ABHR) Fire Alarm System - Initiation Sprinkler System - Maintenance and Testing Portable Fire Extinguishers Utilities - Gas and Electric Maintenance, Inspection and Testing - Doors Electrical Systems - Maintenance and Testing Electrical Systems - Essential Electric Syste Electrical Equipment - Power Cords and Extens |
| Nov 5, 2018 | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: EMERGENCY ROOM LOG MEDICAL SCREENING EXAM RECIPIENT HOSPITAL RESPONSIBILITIES |
| Sep 20, 2018 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE |
| Aug 31, 2017 | 0 | 10 | 0 | 10 | Read full report |
Deficiencies cited in this report: Egress Doors Emergency Lighting Sprinkler System - Installation Sprinkler System - Maintenance and Testing Corridor - Doors Subdivision of Building Spaces - Smoke Barrie Utilities - Gas and Electric Evacuation and Relocation Plan Electrical Equipment - Power Cords and Extens Gas Equipment - Cylinder and Container Storag |
| Feb 24, 2017 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: LICENSURE OF PERSONNEL INFECTION CONTROL PROGRAM |
| Jun 27, 2014 | 0 | 22 | 0 | 22 | 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 LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD |
| Jun 27, 2014 | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: MEDICAL STAFF BYLAWS RN SUPERVISION OF NURSING CARE INFECTION PREVENTION CONTROL ABX STEWARDSHIP |
| Jun 27, 2014 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE |
| Mar 28, 2013 | 9 | 0 | 0 | 9 | Read full report |
Deficiencies cited in this report: USE OF RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION MEDICAL STAFF BYLAWS NURSING SERVICES RN SUPERVISION OF NURSING CARE NURSING CARE PLAN STANDING ORDERS FOR DRUGS FORM AND RETENTION OF RECORDS |
| Aug 25, 2011 | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION |
| Aug 25, 2011 | 0 | 24 | 0 | 24 | 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 LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD |
