| Mar 1, 2022 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT |
| Nov 9, 2021 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING STAFFING AND DELIVERY OF CARE |
| Sep 1, 2021 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: RESTRAINT OR SECLUSION |
| Sep 19, 2019 | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: NURSING SERVICES RN SUPERVISION OF NURSING CARE ADMINISTRATION OF DRUGS |
Jun 16, 2019 Follow-up to inspection
on 2019-04-12* | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING |
| Apr 12, 2019 | 4 | 0 | 0 | 4 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT RN SUPERVISION OF NURSING CARE |
| Dec 4, 2018 | 4 | 0 | 0 | 4 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: GRIEVANCE REVIEW TIME FRAMES PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT |
| Jan 18, 2018 | 11 | 0 | 0 | 11 | Read full report |
Deficiencies cited in this report: GOVERNING BODY CHIEF EXECUTIVE OFFICER CONTRACTED SERVICES PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT USE OF RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION QAPI NURSING SERVICES RN SUPERVISION OF NURSING CARE |
Oct 28, 2017 Follow-up to inspection
on 2017-09-14* | 19 | 0 | 0 | 19 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: PERSONAL PRIVACY PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION MEDICAL STAFF ORGANIZATION & ACCOUNTABILITY RN SUPERVISION OF NURSING CARE NURSING CARE PLAN FORM AND RETENTION OF RECORDS SAFETY POLICY AND PROCEDURES SAFETY FOR PATIENTS AND PERSONNEL MONITORING RADIATION EXPOSURE FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE SOCIAL SERVICES RECORDS PROVIDE ASSESSMENT OF HOME PLANS EVALUATION INCLUDES INVENTORY OF ASSETS PLAN INCLUDES SPECIFIC TREATMENT MODALITIES UTILIZED PLAN INCLUDES ADEQUATE DOCUMENTATION TO JUSTIFY DIAGNOSIS TREATMENT DOCUMENTED TO ASSURE ACTIVE THERAPEUTIC EFFORTS MONITOR/EVALUATE QUALITY/APPROPRIATENESS OF SERVICES PARTICIPATES IN FORMULATION OF TREATMENT PLANS SOCIAL SERVICES |
| Sep 14, 2017 | 20 | 0 | 0 | 20 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: PERSONAL PRIVACY PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION MEDICAL STAFF ORGANIZATION & ACCOUNTABILITY NURSING CARE PLAN FORM AND RETENTION OF RECORDS SAFETY POLICY AND PROCEDURES SAFETY FOR PATIENTS AND PERSONNEL MONITORING RADIATION EXPOSURE PHYSICAL ENVIRONMENT MAINTENANCE OF PHYSICAL PLANT FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE SOCIAL SERVICES RECORDS PROVIDE ASSESSMENT OF HOME PLANS EVALUATION INCLUDES INVENTORY OF ASSETS PLAN INCLUDES SPECIFIC TREATMENT MODALITIES UTILIZED PLAN INCLUDES ADEQUATE DOCUMENTATION TO JUSTIFY DIAGNOSIS TREATMENT DOCUMENTED TO ASSURE ACTIVE THERAPEUTIC EFFORTS MONITOR/EVALUATE QUALITY/APPROPRIATENESS OF SERVICES PARTICIPATES IN FORMULATION OF TREATMENT PLANS SOCIAL SERVICES |
| Jul 12, 2017 | 7 | 0 | 0 | 7 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS:PARTICIPATION IN CARE PLANNING PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT USE OF RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION |
May 24, 2017 Follow-up to inspection
on 2017-02-10* | 6 | 0 | 0 | 6 | Read full report |
Deficiencies cited in this report: SPECIAL MEDICAL RECORD REQUIREMENTS PLAN INCLUDES SPECIFIC TREATMENT MODALITIES UTILIZED PLAN INCLUDES ADEQUATE DOCUMENTATION TO JUSTIFY DIAGNOSIS TREATMENT DOCUMENTED TO ASSURE ACTIVE THERAPEUTIC EFFORTS MONITOR/EVALUATE QUALITY/APPROPRIATENESS OF SERVICES PARTICIPATES IN FORMULATION OF TREATMENT PLANS |
Mar 28, 2017 Follow-up to inspection
on 2017-02-10* | 7 | 0 | 0 | 7 | Read full report |
Deficiencies cited in this report: SPECIAL MEDICAL RECORD REQUIREMENTS EVALUATION ESTIMATES INTELLECTUAL/MEMORY FUNCTIONING EVALUATION INCLUDES INVENTORY OF ASSETS PLAN INCLUDES SPECIFIC TREATMENT MODALITIES UTILIZED TREATMENT DOCUMENTED TO ASSURE ACTIVE THERAPEUTIC EFFORTS MONITOR/EVALUATE QUALITY/APPROPRIATENESS OF SERVICES PARTICIPATES IN FORMULATION OF TREATMENT PLANS |
| Feb 10, 2017 | 0 | 5 | 0 | 5 | Read full report |
Deficiencies cited in this report: Emergency Lighting Subdivision of Building Spaces - Smoke Barrie Electrical Systems - Other Electrical Systems - Essential Electric Syste Electrical Systems - Essential Electric Syste |
| Feb 10, 2017 | 25 | 0 | 0 | 25 | Read full report |
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT QAPI PATIENT SAFETY MEDICAL STAFF ORGANIZATION & ACCOUNTABILITY NURSING SERVICES RN SUPERVISION OF NURSING CARE NURSING CARE PLAN ADMINISTRATION OF DRUGS FORM AND RETENTION OF RECORDS MEDICAL RECORD SERVICES THERAPEUTIC DIETS MAINTENANCE OF PHYSICAL PLANT FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM RESPIRATORY SERVICES SPECIAL MEDICAL RECORD REQUIREMENTS EVALUATION ESTIMATES INTELLECTUAL/MEMORY FUNCTIONING EVALUATION INCLUDES INVENTORY OF ASSETS PLAN INCLUDES SPECIFIC TREATMENT MODALITIES UTILIZED TREATMENT DOCUMENTED TO ASSURE ACTIVE THERAPEUTIC EFFORTS MONITOR/EVALUATE QUALITY/APPROPRIATENESS OF SERVICES PARTICIPATES IN FORMULATION OF TREATMENT PLANS |
| Dec 23, 2016 | 5 | 0 | 0 | 5 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION NURSING SERVICES PATIENT CARE ASSIGNMENTS |
| Nov 2, 2015 | 4 | 0 | 0 | 4 | Read full report |
Deficiencies cited in this report: NURSING SERVICES RN SUPERVISION OF NURSING CARE NURSING CARE PLAN ADMINISTRATION OF DRUGS |
Jan 13, 2014 Follow-up to inspection
on 2013-11-07* | 4 | 0 | 0 | 4 | Read full report |
Deficiencies cited in this report: PLAN INCLUDES SPECIFIC TREATMENT MODALITIES UTILIZED MONITOR/EVALUATE QUALITY/APPROPRIATENESS OF SERVICES PARTICIPATES IN FORMULATION OF TREATMENT PLANS SOCIAL SERVICES |
| Jan 13, 2014 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: FIRE CONTROL PLANS |
| Nov 7, 2013 | 14 | 0 | 0 | 14 | Read full report |
Deficiencies cited in this report: CONTRACTED SERVICES PATIENT RIGHTS: CARE IN SAFE SETTING RN SUPERVISION OF NURSING CARE NURSING CARE PLAN DIRECTOR OF DIETARY SERVICES MAINTENANCE OF PHYSICAL PLANT INFECTION CONTROL PROFESSIONAL INFECTION CONTROL PROGRAM ORDERS FOR RESPIRATORY SERVICES RESPIRATORY SERVICES PLAN INCLUDES SPECIFIC TREATMENT MODALITIES UTILIZED MONITOR/EVALUATE QUALITY/APPROPRIATENESS OF SERVICES PARTICIPATES IN FORMULATION OF TREATMENT PLANS SOCIAL SERVICES |
| Nov 6, 2013 | 0 | 7 | 0 | 7 | 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 |
| Aug 2, 2013 | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING RN SUPERVISION OF NURSING CARE |
| Aug 2, 2013 | 0 | 2 | 0 | 2 | Read full report |
Deficiencies cited in this report: No Description Available No Description Available |
Dec 7, 2012 Follow-up to inspection
on 2012-05-08* | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: ORGANIZATION OF NURSING SERVICES |
Nov 29, 2012 Follow-up to inspection
on 2012-07-13* | 5 | 0 | 0 | 5 | Read full report |
Deficiencies cited in this report: MEDICAL STAFF - ACCOUNTABILITY FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE TREATMENT DOCUMENTED TO ASSURE ACTIVE THERAPEUTIC EFFORTS DISCHARGE SUMMARY INCLUDES SUMMARY OF CONDITION ON DISCHARGE MONITOR/EVALUATE QUALITY/APPROPRIATENESS OF SERVICES |
| Jul 13, 2012 | 15 | 0 | 0 | 15 | Read full report |
Deficiencies cited in this report: MEDICAL STAFF - ACCOUNTABILITY CONTRACTED SERVICES NURSING SERVICES RN SUPERVISION OF NURSING CARE NURSING CARE PLAN QUALIFIED DIETITIAN FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE TIMELY DISCHARGE PLANNING EVALUATIONS ORDERS FOR RESPIRATORY SERVICES SPECIAL MEDICAL RECORD REQUIREMENTS TREATMENT DOCUMENTED TO ASSURE ACTIVE THERAPEUTIC EFFORTS RECORDS OF DISCHARGED PATIENTS INCLUDE DISCHARGE SUMMARY DISCHARGE SUMMARY INCLUDES RECOMMENDATIONS ON FOLLOWUP MONITOR/EVALUATE QUALITY/APPROPRIATENESS OF SERVICES SOCIAL SERVICE STAFF RESPONSIBILITIES |
| Jul 11, 2012 | 0 | 6 | 0 | 6 | 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 |
| May 8, 2012 | 9 | 0 | 0 | 9 | Read full report |
Deficiencies cited in this report: GOVERNING BODY MEDICAL STAFF - ACCOUNTABILITY ORGANIZATION OF NURSING SERVICES RN SUPERVISION OF NURSING CARE FORM AND RETENTION OF RECORDS FACILITIES INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROFESSIONAL No Description Available |
| Feb 8, 2012 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE |
| Dec 1, 2011 | 6 | 0 | 0 | 6 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS:PARTICIPATION IN CARE PLANNING RN SUPERVISION OF NURSING CARE NURSING CARE PLAN CONTENT OF RECORD DIRECTOR OF DIETARY SERVICES FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE |
| Feb 10, 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 No Description Available |
| Feb 10, 2011 | 11 | 0 | 0 | 11 | Read full report |
Deficiencies cited in this report: CONTRACTED SERVICES PATIENT RIGHTS: CARE IN SAFE SETTING RN SUPERVISION OF NURSING CARE NURSING CARE PLAN FORM AND RETENTION OF RECORDS DIRECTOR OF DIETARY SERVICES PHYSICAL ENVIRONMENT MAINTENANCE OF PHYSICAL PLANT LIFE SAFETY FROM FIRE FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE ORDERS FOR REHABILITATION SERVICES |
| Jan 7, 2011 | 14 | 0 | 0 | 14 | Read full report |
Deficiencies cited in this report: GOVERNING BODY MEDICAL STAFF - ACCOUNTABILITY PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING MEDICAL STAFF MEDICAL STAFF ORGANIZATION & ACCOUNTABILITY NURSING SERVICES RN SUPERVISION OF NURSING CARE NURSING CARE PLAN No Description Available PHYSICAL ENVIRONMENT MAINTENANCE OF PHYSICAL PLANT FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE No Description Available |
| Jul 27, 2010 | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE NURSING CARE PLAN ADMINISTRATION OF DRUGS |
| Apr 8, 2010 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE |
