| Apr 18, 2023 | 17 | 0 | 0 | 17 | Read full report |
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS QAPI NURSING SERVICES CHIEF EXECUTIVE OFFICER PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION DATA COLLECTION & ANALYSIS QUALITY IMPROVEMENT ACTIVITIES PATIENT SAFETY QAPI EXECUTIVE RESPONSIBILITIES ORGANIZATION OF NURSING SERVICES STAFFING AND DELIVERY OF CARE RN SUPERVISION OF NURSING CARE NURSING CARE PLAN ADMINISTRATION OF DRUGS |
| Apr 26, 2022 | 8 | 0 | 0 | 8 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS PHYSICAL ENVIRONMENT SURGICAL SERVICES PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION MAINTENANCE OF PHYSICAL PLANT LIFE SAFETY FROM FIRE OPERATING ROOM POLICIES |
| Feb 14, 2018 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: Condition of Participation: Pharmaceutical Se PHARMACIST SUPERVISION OF SERVICES |
| Dec 20, 2017 | 4 | 0 | 0 | 4 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS PHYSICAL ENVIRONMENT PATIENT RIGHTS: CARE IN SAFE SETTING MAINTENANCE OF PHYSICAL PLANT |
| Feb 19, 2015 | 5 | 0 | 0 | 5 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS NURSING SERVICES PATIENT RIGHTS: CARE IN SAFE SETTING RN SUPERVISION OF NURSING CARE NURSING CARE PLAN |
| Oct 21, 2014 | 13 | 0 | 0 | 13 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION MEDICAL STAFF RESPONSIBILITIES - H&P RN SUPERVISION OF NURSING CARE PHARMACIST SUPERVISION OF SERVICES SECURE STORAGE FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM POST-ANESTHESIA EVALUATION QUALIFIED EMERGENCY SERVICES PERSONNEL DELIVERY OF SERVICES |
| Oct 21, 2014 | 0 | 5 | 0 | 5 | Read full report |
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available No Description Available |
| Aug 5, 2014 | 12 | 0 | 0 | 12 | Read full report |
Deficiencies cited in this report: GOVERNING BODY QAPI PHYSICAL ENVIRONMENT INFECTION PREVENTION CONTROL ABX STEWARDSHIP CONTRACTED SERVICES QUALITY IMPROVEMENT ACTIVITIES Standard-level Tag for Pharmaceutical Service PHARMACIST RESPONSIBILITIES PHARMACIST SUPERVISION OF SERVICES MAINTENANCE OF PHYSICAL PLANT VENTILATION, LIGHT, TEMPERATURE CONTROLS INFECTION CONTROL PROGRAM |
| Jul 2, 2012 | 0 | 12 | 0 | 12 | 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 |
| Jul 2, 2012 | 17 | 0 | 0 | 17 | Read full report |
Deficiencies cited in this report: MEDICAL STAFF RESPIRATORY CARE SERVICES PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION MEDICAL STAFF ORGANIZATION & ACCOUNTABILITY RN SUPERVISION OF NURSING CARE NURSING CARE PLAN PHARMACY DRUG RECORDS MAINTENANCE OF PHYSICAL PLANT LIFE SAFETY FROM FIRE FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM INTRAOPERATIVE ANESTHESIA RECORD POST-ANESTHESIA EVALUATION RESPIRATORY CARE SERVICES POLICIES ORDERS FOR RESPIRATORY SERVICES |
| May 22, 2012 | 12 | 0 | 0 | 12 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: EXERCISE OF RIGHTS PATIENT RIGHTS: INFORMED DECISION PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT PATIENT RIGHTS: CONFIDENTIALITY OF RECORDS PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION RN SUPERVISION OF NURSING CARE NURSING CARE PLAN FORM AND RETENTION OF RECORDS No Description Available |
| Dec 15, 2011 | 4 | 0 | 0 | 4 | Read full report |
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE PROTECTING PATIENT RECORDS SECURE STORAGE OPERATIVE REPORT |
| Dec 15, 2011 | 0 | 3 | 0 | 3 | Read full report |
Deficiencies cited in this report: No Description Available No Description Available No Description Available |
| Oct 25, 2011 | 7 | 0 | 0 | 7 | Read full report |
Deficiencies cited in this report: QAPI EMERGENCY SERVICES PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION FORM AND RETENTION OF RECORDS CONTENT OF RECORD: DISCHARGE SUMMARY EMERGENCY SERVICES POLICIES No Description Available |
| Jun 29, 2010 | 11 | 0 | 0 | 11 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION MEDICAL STAFF ORGANIZATION & ACCOUNTABILITY RN SUPERVISION OF NURSING CARE NURSING CARE PLAN FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM REASSESSMENT OF A DISCHARGE PLAN No Description Available No Description Available |
| Jun 29, 2010 | 0 | 1 | 0 | 1 | Read full report |
Deficiencies cited in this report: No Description Available |
| May 12, 2010 | 7 | 0 | 0 | 7 | Read full report |
Deficiencies cited in this report: GOVERNING BODY MEDICAL STAFF MEDICAL STAFF - ACCOUNTABILITY MEDICAL STAFF ORGANIZATION & ACCOUNTABILITY ORGANIZATION OF MEDICAL STAFF CONTENT OF RECORD No Description Available |
Mar 9, 2010 Follow-up to inspection
(date unspecified)* | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: No Description Available |
