| Aug 1, 2024 | 0 | 4 | 1 | 5 | Read full report |
Deficiencies cited in this report: Names and Contact Information Multiple Occupancies Sprinkler System - Maintenance and Testing Fire Drills Maintenance, Inspection and Testing - Doors |
| Jul 17, 2024 | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION |
| Apr 20, 2021 | 3 | 0 | 1 | 4 | Read full report |
Deficiencies cited in this report: PROTECTING PATIENT RECORDS MAINTENANCE OF PHYSICAL PLANT FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE Information on Occupancy/Needs |
| Apr 15, 2021 | 0 | 2 | 0 | 2 | Read full report |
Deficiencies cited in this report: Corridor - Doors Utilities - Gas and Electric |
| Jan 13, 2021 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: STAFFING AND DELIVERY OF CARE |
| Sep 17, 2020 | 0 | 10 | 0 | 10 | Read full report |
Deficiencies cited in this report: Means of Egress - General Doors with Self-Closing Devices Cooking Facilities Sprinkler System - Installation Sprinkler System - Maintenance and Testing Fire Drills Electrical Systems - Other Electrical Systems - Essential Electric Syste Electrical Equipment - Power Cords and Extens Gas Equipment - Cylinder and Container Storag |
| Sep 17, 2020 | 10 | 0 | 2 | 12 | Read full report |
Deficiencies cited in this report: CONTRACTED SERVICES STAFFING AND DELIVERY OF CARE RN SUPERVISION OF NURSING CARE NURSING CARE PLAN DELIVERY OF DRUGS WRITTEN PROTOCOL FOR TISSUE SPECIMENS DIRECTOR OF DIETARY SERVICES UTILIZATION REVIEW COMMITTEE FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE OPO AGREEMENT Plan Based on All Hazards Risk Assessment Development of EP Policies and Procedures |
| Jun 8, 2020 | 5 | 0 | 0 | 5 | Read full report |
Deficiencies cited in this report: MEDICAL STAFF - ACCOUNTABILITY EMERGENCY SERVICES CONTENT OF RECORD: DISCHARGE SUMMARY DISCHARGE PLANNING - EARLY IDENTIFICATION APPROPRIATE TRANSFER |
| Feb 26, 2020 | 18 | 0 | 0 | 18 | Read full report |
Deficiencies cited in this report: LICENSURE OF PERSONNEL GOVERNING BODY MEDICAL STAFF - BYLAWS AND RULES PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION QAPI EXECUTIVE RESPONSIBILITIES MEDICAL STAFF ORGANIZATION & ACCOUNTABILITY NURSING SERVICES STAFFING AND DELIVERY OF CARE RN SUPERVISION OF NURSING CARE NURSING CARE PLAN PATIENT CARE ASSIGNMENTS MEDICAL RECORD SERVICES CONTENT OF RECORD: ORDERS DATED & SIGNED PHYSICAL ENVIRONMENT FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE |
| Dec 12, 2019 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: CONTENT OF RECORD: ORDERS,NOTES,REPORTS |
| Jul 22, 2019 | 0 | 8 | 0 | 8 | Read full report |
Deficiencies cited in this report: Hazardous Areas - Enclosure Sprinkler System - Maintenance and Testing Utilities - Gas and Electric Fire Drills Maintenance, Inspection and Testing - Doors Electrical Systems - Maintenance and Testing Electrical Equipment - Power Cords and Extens Gas Equipment - Cylinder and Container Storag |
| Jul 22, 2019 | 5 | 0 | 5 | 10 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION CONTENT OF RECORD: ORDERS DATED & SIGNED Plan Based on All Hazards Risk Assessment Procedures for Tracking of Staff and Patients Policies/Procedures for Sheltering in Place Roles Under a Waiver Declared by Secretary Emergency Officials Contact Information |
| Jul 18, 2019 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: COMPLIANCE WITH LAWS PATIENT CARE ASSIGNMENTS |
| Apr 12, 2019 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: PATIENT CARE ASSIGNMENTS |
| Jun 21, 2018 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: MEDICAL STAFF ORGANIZATION & ACCOUNTABILITY NURSING CARE PLAN |
| May 9, 2018 | 0 | 3 | 0 | 3 | Read full report |
Deficiencies cited in this report: Sprinkler System - Maintenance and Testing Subdivision of Building Spaces - Smoke Barrie Utilities - Gas and Electric |
| May 9, 2018 | 19 | 0 | 4 | 23 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: NOTICE OF RIGHTS SPECIAL MEDICAL RECORD REQUIREMENTS SOCIAL SERVICES RECORDS PROVIDE ASSESSMENT OF HOME PLANS COMPLETE NEUROLOGICAL EXAM RECORDED AT TIME OF ADMISSION PSYCHIATRIC EVALUATION PSYCHIATRIC EVALUATION INCLUDES MEDICAL HISTORY PSYCHIATRIC EVALUATION INCLUDES RECORD OF MENTAL STATUS EVALUATION NOTES ONSET OF ILLNESS/CIRCUMSTANCES OF ADMISSION PSYCHIATRIC EVALUATION DESCRIBES ATTITUDES/BEHAVIOR EVALUATION ESTIMATES INTELLECTUAL/MEMORY FUNCTIONING EVALUATION INCLUDES INVENTORY OF ASSETS INDIVIDUAL COMPREHENSIVE TREATMENT PLAN PLAN BASED ON INVENTORY OF STRENGTHS/DISABILITIES PLAN INCLUDES SHORT TERM/LONG RANGE GOALS PLAN INCLUDES SPECIFIC TREATMENT MODALITIES UTILIZED PLAN INCLUDES ADEQUATE DOCUMENTATION TO JUSTIFY DIAGNOSIS PROGRESS NOTES RECORDED BY MD/DO RESPONSIBLE FOR CARE MONITOR/EVALUATE QUALITY/APPROPRIATENESS OF SERVICES PARTICIPATES IN FORMULATION OF TREATMENT PLANS Policies for Evac. and Primary/Alt. Comm. Roles Under a Waiver Declared by Secretary EP Training Program EP Testing Requirements |
| Apr 18, 2018 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING |
| Feb 8, 2018 | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: INFORMED CONSENT RN SUPERVISION OF NURSING CARE CONTENT OF RECORD: ORDERS,NOTES,REPORTS |
| Mar 15, 2017 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: PATIENT CARE ASSIGNMENTS FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE |
| Oct 25, 2016 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: STAFFING AND DELIVERY OF CARE RN SUPERVISION OF NURSING CARE |
| Mar 2, 2016 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE |
| Jul 31, 2015 | 0 | 20 | 0 | 20 | 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 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 |
| Jul 30, 2015 | 7 | 0 | 0 | 7 | Read full report |
Deficiencies cited in this report: MEDICAL STAFF - ACCOUNTABILITY PATIENT RIGHTS: INFORMED CONSENT STAFFING AND DELIVERY OF CARE RN SUPERVISION OF NURSING CARE COMPETENT DIETARY STAFF No Description Available DISCUSSION OF EVALUATION RESULTS |
| Jul 30, 2015 | 6 | 0 | 0 | 6 | Read full report |
Deficiencies cited in this report: MEDICAL STAFF - ACCOUNTABILITY RN SUPERVISION OF NURSING CARE FORM AND RETENTION OF RECORDS INFECTION CONTROL PROGRAM DISCUSSION OF EVALUATION RESULTS OPO AGREEMENT |
| Mar 29, 2013 | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: INFORMED DECISION PATIENT RIGHTS: PRIVACY AND SAFETY |
| Aug 21, 2012 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS:PARTICIPATION IN CARE PLANNING |
| Nov 4, 2011 | 7 | 0 | 0 | 7 | Read full report |
Deficiencies cited in this report: SPECIAL MEDICAL RECORD REQUIREMENTS INDIVIDUAL COMPREHENSIVE TREATMENT PLAN TREATMENT DOCUMENTED TO ASSURE ACTIVE THERAPEUTIC EFFORTS SPECIAL STAFF REQUIREMENTS FOR PSYCHIATRIC HOSPITALS MONITOR/EVALUATE QUALITY/APPROPRIATENESS OF SERVICES PARTICIPATES IN FORMULATION OF TREATMENT PLANS SOCIAL SERVICES |
Sep 23, 2011 Follow-up to inspection
on 2011-08-04* | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: RESTRAINT OR SECLUSION |
| Sep 23, 2011 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE |
| Aug 4, 2011 | 10 | 0 | 0 | 10 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION No Description Available PATIENT CARE ASSIGNMENTS |
| Aug 4, 2011 | 0 | 10 | 0 | 10 | Read full report |
Deficiencies cited in this report: 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 |
