| Jul 9, 2025 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: SUPERVISION OF CONTRACT STAFF EMERGENCY SERVICES POLICIES |
Feb 20, 2025 Follow-up to inspection
on 2024-11-06* | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: STAFFING AND DELIVERY OF CARE |
| Feb 20, 2025 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: STAFFING AND DELIVERY OF CARE |
| Nov 6, 2024 | 12 | 0 | 0 | 12 | Read full report |
Deficiencies cited in this report: NURSING SERVICES Condition of Participation: Pharmaceutical Se NURSING CARE PLAN SUPERVISION OF CONTRACT STAFF ADMINISTRATION OF DRUGS PHARMACY ADMINISTRATION DELIVERY OF DRUGS PHARMACIST SUPERVISION OF SERVICES UNUSABLE DRUGS NOT USED STOP-ORDERS FOR DRUGS REPORTING ABUSES/LOSSES OF DRUGS FORMULARY SYSTEM |
| Sep 30, 2024 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE CONTENT OF RECORD: ORDERS,NOTES,REPORTS |
| Jul 26, 2024 | 11 | 0 | 0 | 11 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS NURSING SERVICES PATIENT RIGHTS: NOTICE OF RIGHTS PATIENT RIGHTS: INFORMED DECISION PATIENT RIGHTS: PERSONAL PRIVACY PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION RN SUPERVISION OF NURSING CARE NURSING CARE PLAN VERBAL ORDERS FOR DRUGS SECURE STORAGE |
| Mar 30, 2021 | 7 | 0 | 0 | 7 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS SURGICAL SERVICES PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: CARE IN SAFE SETTING RN SUPERVISION OF NURSING CARE OPERATING ROOM POLICIES HISTORY AND PHYSICAL |
| Jun 17, 2020 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: INFECTION CONTROL PROGRAM |
| Oct 24, 2019 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: INFORMED CONSENT INFORMED CONSENT |
| Dec 12, 2018 | 4 | 0 | 0 | 4 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: CONFIDENTIALITY OF RECORDS PATIENT RIGHTS: CONFIDENTIALITY OF RECORDS RN SUPERVISION OF NURSING CARE CONTENT OF RECORD |
| Oct 15, 2015 | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: INFORMED DECISION ADMINISTRATION OF DRUGS MEDICAL RECORD SERVICES |
| Feb 27, 2014 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: APPROPRIATE TRANSFER |
| Feb 11, 2014 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: DATA COLLECTION & ANALYSIS |
| Feb 3, 2014 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: APPROPRIATE TRANSFER |
| Oct 18, 2012 | 15 | 0 | 0 | 15 | Read full report |
Deficiencies cited in this report: INFECTION PREVENTION CONTROL ABX STEWARDSHIP SURGICAL SERVICES PATIENT RIGHTS: CONFIDENTIALITY OF RECORDS ADMINISTRATION OF DRUGS PROTECTING PATIENT RECORDS CONTENT OF RECORD: ORDERS,NOTES,REPORTS PHARMACIST SUPERVISION OF SERVICES UNUSABLE DRUGS NOT USED SAFETY FOR PATIENTS AND PERSONNEL ADEQUACY OF LABORATORY SERVICES MAINTENANCE OF PHYSICAL PLANT FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM OPERATING ROOM POLICIES No Description Available |
| Oct 18, 2012 | 0 | 18 | 0 | 18 | 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 Means of Egress - General |
| Aug 14, 2012 | 4 | 0 | 0 | 4 | Read full report |
Deficiencies cited in this report: NURSING SERVICES PATIENT RIGHTS: INFORMED CONSENT STAFFING AND DELIVERY OF CARE ADEQUACY OF LABORATORY SERVICES |
| Sep 30, 2011 | 38 | 0 | 0 | 38 | Read full report |
Deficiencies cited in this report: NURSING SERVICES FOOD AND DIETETIC SERVICES INFECTION PREVENTION CONTROL ABX STEWARDSHIP CONTRACTED SERVICES PATIENT RIGHTS: NOTICE OF RIGHTS PATIENT RIGHTS: INFORMED DECISION MEDICAL STAFF BYLAWS STAFFING AND DELIVERY OF CARE RN SUPERVISION OF NURSING CARE NURSING CARE PLAN PATIENT CARE ASSIGNMENTS SUPERVISION OF CONTRACT STAFF STANDING ORDERS FOR DRUGS ORDERS FOR DRUGS AND BIOLOGICALS ORGANIZATION AND STAFFING MEDICAL RECORD SERVICES CONTENT OF RECORD: ORDERS DATED & SIGNED CONTENT OF RECORD: STANDING ORDERS CONTENT OF RECORD: CONSULTATIVE RECORDS CONTENT OF RECORD: FINAL DIAGNOSIS DELIVERY OF DRUGS SECURE STORAGE UNUSABLE DRUGS NOT USED QUALIFIED STAFF ORGANIZATION DIRECTOR OF DIETARY SERVICES THERAPEUTIC DIETS DIETS THERAPEUTIC DIET MANUAL MAINTENANCE OF PHYSICAL PLANT EMERGENCY GAS AND WATER DISPOSAL OF TRASH FIRE CONTROL PLANS FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROFESSIONAL INFECTION CONTROL PROGRAM No Description Available No Description Available |
| Sep 29, 2011 | 0 | 14 | 0 | 14 | 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 Means of Egress - General |
| May 25, 2011 | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: COMPLIANCE WITH 489.24 ON CALL PHYSICIANS APPROPRIATE TRANSFER |
Dec 30, 2010 Follow-up to inspection
on 2010-08-02* | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: HISTORY AND PHYSICAL |
| Aug 2, 2010 | 21 | 0 | 0 | 21 | Read full report |
Deficiencies cited in this report: MEDICAL RECORD SERVICES INFECTION PREVENTION CONTROL ABX STEWARDSHIP PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: PERSONAL PRIVACY PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION SUPERVISION OF CONTRACT STAFF ORGANIZATION AND STAFFING FORM AND RETENTION OF RECORDS MEDICAL RECORD SERVICES CONTENT OF RECORD: STANDING ORDERS CONTENT OF RECORD: INFORMED CONSENT PHARMACY ADMINISTRATION DELIVERY OF DRUGS SAFETY FOR PATIENTS AND PERSONNEL DIRECTOR OF DIETARY SERVICES DIETS THERAPEUTIC DIET MANUAL MAINTENANCE OF PHYSICAL PLANT INFECTION CONTROL PROFESSIONAL PRE-ANESTHESIA EVALUATION |
| Jul 29, 2010 | 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 Means of Egress - General |
| Jun 23, 2010 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: No Description Available |
| May 21, 2010 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: DISCHARGE PLANNING EVALUATION |
| May 5, 2010 | 15 | 0 | 0 | 15 | Read full report |
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS QAPI NURSING SERVICES USE OF 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 NURSING CARE PLAN SUPERVISION OF CONTRACT STAFF CONTENT OF RECORD: STANDING ORDERS No Description Available |
