| Sep 18, 2024 | 5 | 0 | 0 | 5 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT NURSING CARE PLAN SCOPE AND FREQUENCY OF REVIEW DETERMINATIONS OF MEDICAL NECESSITY |
| Nov 9, 2023 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING |
| Sep 8, 2022 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: RECIPIENT HOSPITAL RESPONSIBILITIES |
| Mar 21, 2018 | 13 | 0 | 0 | 13 | Read full report |
Deficiencies cited in this report: GOVERNING BODY QAPI QUALITY IMPROVEMENT ACTIVITIES MEDICAL STAFF BYLAWS NURSING SERVICES ORGANIZATION OF NURSING SERVICES NURSING CARE PLAN ADMINISTRATION OF DRUGS INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROGRAM REASSESSMENT OF A DISCHARGE PLAN SURGICAL SERVICES OPERATING ROOM POLICIES |
| Apr 28, 2016 | 5 | 0 | 0 | 5 | Read full report |
Deficiencies cited in this report: QUALITY IMPROVEMENT ACTIVITIES RN SUPERVISION OF NURSING CARE QUALIFIED EMERGENCY SERVICES PERSONNEL QUALITY IMPROVEMENT ACTIVITIES RN SUPERVISION OF NURSING CARE |
| Dec 23, 2015 | 8 | 0 | 0 | 8 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT FORM AND RETENTION OF RECORDS INTEGRATION OF EMERGENCY SERVICES PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT INTEGRATION OF EMERGENCY SERVICES |
| May 12, 2015 | 16 | 0 | 0 | 16 | Read full report |
Deficiencies cited in this report: GOVERNING BODY CONTRACTED SERVICES PATIENT RIGHTS: CARE IN SAFE SETTING QAPI DATA COLLECTION & ANALYSIS PATIENT SAFETY NURSING SERVICES ADMINISTRATION OF DRUGS PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE RESPIRATORY CARE SERVICES RESPIRATORY CARE SERVICES POLICIES PATIENT RIGHTS: CARE IN SAFE SETTING ADMINISTRATION OF DRUGS LIFE SAFETY FROM FIRE RESPIRATORY CARE SERVICES POLICIES |
| Dec 19, 2013 | 27 | 0 | 0 | 27 | Read full report |
Deficiencies cited in this report: MEDICAL STAFF - BYLAWS AND RULES PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: CONFIDENTIALITY OF RECORDS QAPI EXECUTIVE RESPONSIBILITIES RN SUPERVISION OF NURSING CARE NURSING CARE PLAN ADMINISTRATION OF DRUGS MEDICAL RECORD SERVICES CONTENT OF RECORD: FINAL DIAGNOSIS PHARMACY ADMINISTRATION DELIVERY OF DRUGS SECURE STORAGE UNUSABLE DRUGS NOT USED STOP-ORDERS FOR DRUGS DIRECTOR OF DIETARY SERVICES QUALIFIED DIETITIAN DIETS INFECTION CONTROL PROFESSIONAL INFECTION CONTROL PROGRAM RN SUPERVISION OF NURSING CARE NURSING CARE PLAN ADMINISTRATION OF DRUGS PHARMACY ADMINISTRATION DELIVERY OF DRUGS QUALIFIED DIETITIAN DIETS INFECTION CONTROL PROFESSIONAL |
| Dec 13, 2013 | 0 | 21 | 0 | 21 | 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 Means of Egress - General Means of Egress - General |
| Oct 29, 2013 | 5 | 0 | 0 | 5 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT SAFETY FORM AND RETENTION OF RECORDS EMERGENCY SERVICES EMERGENCY SERVICES |
| Aug 29, 2013 | 20 | 0 | 0 | 20 | Read full report |
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING QAPI DATA COLLECTION & ANALYSIS QUALITY IMPROVEMENT ACTIVITIES PATIENT SAFETY MEDICAL STAFF MEDICAL STAFF ORGANIZATION & ACCOUNTABILITY MEDICAL STAFF BYLAWS NURSING SERVICES RN SUPERVISION OF NURSING CARE NURSING CARE PLAN FORM AND RETENTION OF RECORDS DISCHARGE PLANNING-EVALUATION REASSESSMENT OF A DISCHARGE PLAN PATIENT RIGHTS: CARE IN SAFE SETTING QUALITY IMPROVEMENT ACTIVITIES MEDICAL STAFF BYLAWS NURSING CARE PLAN |
| Jun 21, 2013 | 18 | 0 | 0 | 18 | Read full report |
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION QAPI DATA COLLECTION & ANALYSIS NURSING CARE PLAN ADMINISTRATION OF DRUGS FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION DATA COLLECTION & ANALYSIS NURSING CARE PLAN ADMINISTRATION OF DRUGS FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE |
May 10, 2013 Follow-up to inspection
on 2013-03-13* | 4 | 0 | 0 | 4 | Read full report |
Deficiencies cited in this report: COMPETENT DIETARY STAFF THERAPEUTIC DIETS NURSING CARE PLAN FORM AND RETENTION OF RECORDS |
| Mar 13, 2013 | 20 | 0 | 0 | 20 | Read full report |
Deficiencies cited in this report: GOVERNING BODY QAPI DATA COLLECTION & ANALYSIS QAPI GOVERNING BODY, STANDARD TAG STAFFING AND DELIVERY OF CARE RN SUPERVISION OF NURSING CARE ADMINISTRATION OF DRUGS DELIVERY OF DRUGS FOOD AND DIETETIC SERVICES DIRECTOR OF DIETARY SERVICES QUALIFIED DIETITIAN No Description Available DIETS THERAPEUTIC DIET MANUAL INFECTION CONTROL PROGRAM DATA COLLECTION & ANALYSIS DIRECTOR OF DIETARY SERVICES QUALIFIED DIETITIAN DIETS INFECTION CONTROL PROGRAM |
| Mar 12, 2013 | 0 | 30 | 0 | 30 | 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 Means of Egress - General |
| Dec 14, 2012 | 14 | 0 | 0 | 14 | Read full report |
Deficiencies cited in this report: GOVERNING BODY QAPI PATIENT SAFETY QAPI EXECUTIVE RESPONSIBILITIES NURSING SERVICES STAFFING AND DELIVERY OF CARE NURSING CARE PLAN ADMINISTRATION OF DRUGS Standard-level Tag for Pharmaceutical Service DELIVERY OF DRUGS PATIENT SAFETY STAFFING AND DELIVERY OF CARE ADMINISTRATION OF DRUGS DELIVERY OF DRUGS |
| May 24, 2012 | 8 | 0 | 0 | 8 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: GRIEVANCES No Description Available RN SUPERVISION OF NURSING CARE NURSING CARE PLAN PHARMACY ADMINISTRATION QUALITY IMPROVEMENT ACTIVITIES NURSING CARE PLAN PHARMACY ADMINISTRATION |
| Apr 24, 2012 | 5 | 0 | 0 | 5 | Read full report |
Deficiencies cited in this report: COMPLIANCE WITH 489.24 MEDICAL SCREENING EXAM STABILIZING TREATMENT MEDICAL SCREENING EXAM STABILIZING TREATMENT |
| Jun 1, 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 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 Means of Egress - General Means of Egress - General Means of Egress - General |
| Jun 1, 2011 | 29 | 0 | 0 | 29 | Read full report |
Deficiencies cited in this report: LICENSURE OF HOSPITAL CONTRACTED SERVICES PATIENT RIGHTS: RESTRAINT OR SECLUSION No Description Available No Description Available No Description Available RN SUPERVISION OF NURSING CARE NURSING CARE PLAN No Description Available ADMINISTRATION OF DRUGS STANDING ORDERS FOR DRUGS DELIVERY OF DRUGS DIRECTOR OF DIETARY SERVICES DIETS PHYSICAL ENVIRONMENT MAINTENANCE OF PHYSICAL PLANT FACILITIES FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROGRAM DELIVERY OF DRUGS QUALITY IMPROVEMENT ACTIVITIES ADMINISTRATION OF DRUGS ADMINISTRATION OF DRUGS QUALITY IMPROVEMENT ACTIVITIES QUALITY IMPROVEMENT ACTIVITIES PATIENT SAFETY DIRECTOR OF DIETARY SERVICES INFECTION CONTROL PROGRAM |
| May 23, 2011 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: RECEIVING AN INAPPROPRIATE TRANSFER |
| Mar 8, 2011 | 31 | 0 | 0 | 31 | Read full report |
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: CONFIDENTIALITY OF RECORDS PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION QAPI PATIENT SAFETY No Description Available No Description Available No Description Available No Description Available NURSING SERVICES STAFFING AND DELIVERY OF CARE RN SUPERVISION OF NURSING CARE PATIENT CARE ASSIGNMENTS EMERGENCY SERVICES INTEGRATION OF EMERGENCY SERVICES EMERGENCY SERVICES POLICIES QUALIFIED EMERGENCY SERVICES PERSONNEL PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT SAFETY QUALITY IMPROVEMENT ACTIVITIES QUALITY IMPROVEMENT ACTIVITIES PATIENT SAFETY PROVIDING ADEQUATE RESOURCES RN SUPERVISION OF NURSING CARE EMERGENCY SERVICES |
| May 18, 2010 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: COMPLIANCE WITH 489.24 MEDICAL SCREENING EXAM |
