Complete reports and deficiency counts
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Nov 16, 2017 Follow-up to inspection
on 2017-08-10* | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: NURSING SERVICES RN/LPN STAFFING |
| Aug 10, 2017 | 13 | 0 | 0 | 13 | Read full report |
Deficiencies cited in this report: Condition of Participation: Pharmaceutical Se CONTRACTED SERVICES DATA COLLECTION & ANALYSIS ADMINISTRATION OF DRUGS PHARMACY ADMINISTRATION PHARMACY DRUG RECORDS DELIVERY OF DRUGS SECURE STORAGE UNUSABLE DRUGS NOT USED ORGANIZATION FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROFESSIONAL SURGICAL PRIVILEGES |
| Aug 10, 2017 | 0 | 12 | 0 | 12 | Read full report |
Deficiencies cited in this report: Building Construction Type and Height Emergency Lighting Anesthetizing Locations Fire Alarm System - Installation Fire Alarm System - Out of Service Sprinkler System - Maintenance and Testing Sprinkler System - Out of Service Portable Fire Extinguishers Corridor - Doors Subdivision of Building Spaces - Smoke Barrie Electrical Equipment - Testing and Maintenanc Gas Equipment - Cylinder and Container Storag |
| Apr 28, 2016 | 13 | 0 | 0 | 13 | Read full report |
Deficiencies cited in this report: GOVERNING BODY QAPI MEDICAL STAFF INFECTION PREVENTION CONTROL ABX STEWARDSHIP SURGICAL SERVICES MEDICAL STAFF - ACCOUNTABILITY MEDICAL STAFF - SELECTION CRITERIA QUALITY IMPROVEMENT ACTIVITIES MEDICAL STAFF ORGANIZATION & ACCOUNTABILITY MEDICAL STAFF QUALIFICATIONS INFECTION CONTROL PROFESSIONAL INFECTION CONTROL PROGRAM OPERATING ROOM POLICIES |
Nov 21, 2013 Follow-up to inspection
on 2013-09-12* | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: PHARMACIST SUPERVISION OF SERVICES AFTER-HOURS ACCESS TO DRUGS |
| Sep 12, 2013 | 13 | 0 | 0 | 13 | Read full report |
Deficiencies cited in this report: GOVERNING BODY QAPI INFECTION PREVENTION CONTROL ABX STEWARDSHIP CONTRACTED SERVICES PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT QAPI EXECUTIVE RESPONSIBILITIES ADMINISTRATION OF DRUGS Standard-level Tag for Pharmaceutical Service PHARMACY ADMINISTRATION FORMULARY SYSTEM INFECTION CONTROL PROFESSIONAL INFECTION CONTROL PROGRAM No Description Available |
| Sep 11, 2013 | 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 |
| Aug 8, 2013 | 8 | 0 | 0 | 8 | Read full report |
Deficiencies cited in this report: GOVERNING BODY QAPI MEDICAL STAFF - BYLAWS QUALITY IMPROVEMENT ACTIVITIES QAPI EXECUTIVE RESPONSIBILITIES MEDICAL STAFF PERIODIC APPRAISALS MEDICAL STAFF BYLAWS DELIVERY OF DRUGS |
| May 10, 2012 | 25 | 0 | 0 | 25 | Read full report |
Deficiencies cited in this report: GOVERNING BODY QAPI INFECTION PREVENTION CONTROL ABX STEWARDSHIP CONTRACTED SERVICES NURSING CARE PLAN CONTENT OF RECORD: UPDATED HISTORY & PHYSICAL CONTENT OF RECORD: COMPLICATIONS PHARMACY ADMINISTRATION PHARMACIST RESPONSIBILITIES PHARMACY DRUG RECORDS DELIVERY OF DRUGS UNUSABLE DRUGS NOT USED FORMULARY SYSTEM SAFETY FOR PATIENTS AND PERSONNEL POTENTIALLY INFECTIOUS BLOOD/BLOOD PRODUCTS FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE VENTILATION, LIGHT, TEMPERATURE CONTROLS INFECTION CONTROL PROGRAM WRITTEN POLICIES AND PROCEDURES STAFF EDUCATION OPERATING ROOM POLICIES OPERATIVE REPORT No Description Available No Description Available No Description Available |
| May 10, 2012 | 0 | 19 | 0 | 19 | 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 Means of Egress - General |
Some state health departments and regional offices of the Centers for Medicare and Medicaid Services sometimes did not upload their inspection reports into a central computer system that could then be shared by us. In such cases, CMS identified the dates of the missing inspections and the number of deficiencies identified. You can request the actual reports from CMS or your state health department.
* Deficiencies cited in follow-up inspections are not counted toward a facility's total deficiency count.
