| Dec 4, 2024 | 6 | 0 | 0 | 6 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: NOTICE OF RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION SUPERVISION OF CONTRACT STAFF |
| Aug 7, 2024 | 4 | 0 | 0 | 4 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: NOTICE OF RIGHTS PATIENT RIGHTS: INFORMED DECISION PATIENT RIGHTS: CARE IN SAFE SETTING MEDICAL STAFF RESPONSIBILITIES - ASSESSMENT |
| Jul 24, 2023 | 18 | 0 | 0 | 18 | Read full report |
Deficiencies cited in this report: LICENSURE OF PERSONNEL PATIENT RIGHTS: CARE IN SAFE SETTING QAPI DATA COLLECTION & ANALYSIS QUALITY IMPROVEMENT ACTIVITIES NURSING CARE PLAN PATIENT CARE ASSIGNMENTS ADMINISTRATION OF DRUGS MEDICAL RECORD SERVICES CONTENT OF RECORD: ORDERS,NOTES,REPORTS Condition of Participation: Pharmaceutical Se PHARMACY ADMINISTRATION PHARMACIST RESPONSIBILITIES PHYSICAL ENVIRONMENT MAINTENANCE OF PHYSICAL PLANT VENTILATION, LIGHT, TEMPERATURE CONTROLS WRITTEN POLICIES AND PROCEDURES INTEGRATION OF EMERGENCY SERVICES |
| Apr 7, 2023 | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: MEDICAL STAFF - ACCOUNTABILITY PATIENT CARE ASSIGNMENTS QUALIFIED EMERGENCY SERVICES PERSONNEL |
| Jan 30, 2023 | 4 | 0 | 0 | 4 | Read full report |
Deficiencies cited in this report: POSTING OF SIGNS EMERGENCY ROOM LOG MEDICAL SCREENING EXAM APPROPRIATE TRANSFER |
| Dec 16, 2021 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: MEDICAL SCREENING EXAM DELAY IN EXAMINATION OR TREATMENT |
| Jul 9, 2020 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: INFECTION CONTROL PROGRAM |
Aug 3, 2016 Follow-up to inspection
on 2016-06-02* | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROGRAM |
| Jun 2, 2016 | 5 | 0 | 0 | 5 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING DATA COLLECTION & ANALYSIS STAFFING AND DELIVERY OF CARE INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROGRAM |
Feb 3, 2016 Follow-up to inspection
on 2015-12-18* | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: NURSING CARE PLAN ADMINISTRATION OF DRUGS INFECTION CONTROL PROGRAM |
| Dec 18, 2015 | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: QUALITY IMPROVEMENT ACTIVITIES Standard-level Tag for Pharmaceutical Service PHARMACIST SUPERVISION OF SERVICES |
| Aug 25, 2014 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE PATIENT CARE ASSIGNMENTS |
Apr 9, 2014 Follow-up to inspection
on 2014-01-30* | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: EMERGENCY ROOM LOG |
| Jan 30, 2014 | 4 | 0 | 0 | 4 | Read full report |
Deficiencies cited in this report: HOSPITAL MUST MAINTAIN RECORDS ON CALL PHYSICIANS EMERGENCY ROOM LOG MEDICAL SCREENING EXAM |
| Jan 29, 2014 | 5 | 0 | 0 | 5 | Read full report |
Deficiencies cited in this report: MEDICAL STAFF - BYLAWS PATIENT SAFETY QAPI EXECUTIVE RESPONSIBILITIES MEDICAL STAFF BYLAWS EMERGENCY SERVICES POLICIES |
Jan 23, 2014 Follow-up to inspection
on 2013-11-19* | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: INFECTION CONTROL PROGRAM |
| Nov 19, 2013 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROGRAM |
Jul 11, 2012 Follow-up to inspection
on 2012-03-01* | 4 | 0 | 0 | 4 | Read full report |
Deficiencies cited in this report: Standard-level Tag for Pharmaceutical Service PHARMACY DRUG RECORDS DELIVERY OF DRUGS INFECTION CONTROL PROGRAM |
| Mar 1, 2012 | 0 | 33 | 0 | 33 | 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 Means of Egress - General 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 LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD |
| Mar 1, 2012 | 17 | 0 | 0 | 17 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION PATIENT RIGHTS: RESTRAINT OR SECLUSION MEDICAL STAFF BYLAWS STAFFING AND DELIVERY OF CARE NURSING CARE PLAN ORDERS FOR DRUGS AND BIOLOGICALS CONTENT OF RECORD: HISTORY & PHYSICAL CONTENT OF RECORD: DISCHARGE SUMMARY CONTENT OF RECORD: FINAL DIAGNOSIS Standard-level Tag for Pharmaceutical Service PHARMACY ADMINISTRATION DELIVERY OF DRUGS SECURE STORAGE DIRECTOR OF DIETARY SERVICES INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROGRAM No Description Available |
| Aug 11, 2011 | 18 | 0 | 0 | 18 | Read full report |
Deficiencies cited in this report: CHIEF EXECUTIVE OFFICER PATIENT RIGHTS: INFORMED CONSENT QAPI No Description Available No Description Available NURSING SERVICES RN SUPERVISION OF NURSING CARE NURSING CARE PLAN MEDICAL RECORD SERVICES ORGANIZATION AND STAFFING FORM AND RETENTION OF RECORDS PROTECTING PATIENT RECORDS No Description Available MEDICAL RECORD SERVICES CONTENT OF RECORD: ORDERS DATED & SIGNED CONTENT OF RECORD: STANDING ORDERS CONTENT OF RECORD: INFORMED CONSENT INFORMED CONSENT |
| Mar 23, 2011 | 17 | 0 | 0 | 17 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: CARE IN SAFE SETTING 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 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 PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION CONTENT OF RECORD: ORDERS,NOTES,REPORTS INTEGRATION OF EMERGENCY SERVICES |
| May 27, 2010 | 0 | 26 | 0 | 26 | 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 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 LIFE SAFETY CODE STANDARD |
| May 13, 2010 | 15 | 0 | 0 | 15 | Read full report |
Deficiencies cited in this report: LICENSURE OF PERSONNEL No Description Available STAFFING AND DELIVERY OF CARE NURSING CARE PLAN STANDING ORDERS FOR DRUGS No Description Available PHARMACY ADMINISTRATION DELIVERY OF DRUGS ADEQUACY OF LABORATORY SERVICES COMPETENT DIETARY STAFF No Description Available THERAPEUTIC DIETS DIETS MAINTENANCE OF PHYSICAL PLANT INFECTION CONTROL PROGRAM |
| Mar 5, 2010 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: ANESTHESIA SERVICES DELIVERY OF ANESTHESIA SERVICES |
