| Dec 30, 2024 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: QAPI GOVERNING BODY, STANDARD TAG QAPI EXECUTIVE RESPONSIBILITIES |
| Jul 26, 2024 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: EXERCISE OF RIGHTS |
| May 24, 2024 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: CHIEF EXECUTIVE OFFICER QUALITY IMPROVEMENT ACTIVITIES |
| May 20, 2024 | 0 | 3 | 0 | 3 | Read full report |
Deficiencies cited in this report: General Requirements - Other Elevators Features of Fire Protection - Other |
| May 18, 2023 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: SUPERVISION OF CONTRACT STAFF ADMINISTRATION OF DRUGS |
| Aug 4, 2022 | 0 | 1 | 0 | 1 | Read full report |
Deficiencies cited in this report: HVAC |
| Dec 4, 2019 | 8 | 0 | 0 | 8 | Read full report |
Deficiencies cited in this report: QAPI DATA COLLECTION & ANALYSIS QAPI GOVERNING BODY, STANDARD TAG NURSING SERVICES ORGANIZATION OF NURSING SERVICES PATIENT CARE ASSIGNMENTS INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROGRAM |
| Apr 2, 2019 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: MEDICAL STAFF BYLAWS INTEGRATION OF EMERGENCY SERVICES |
| Feb 19, 2019 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: COMPLIANCE WITH 489.24 RECIPIENT HOSPITAL RESPONSIBILITIES |
| Nov 21, 2018 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: STAFFING AND DELIVERY OF CARE NURSING CARE PLAN |
| Jun 7, 2017 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: ADMINISTRATION OF DRUGS |
| Feb 22, 2017 | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: COMPLIANCE WITH 489.24 ON CALL PHYSICIANS APPROPRIATE TRANSFER |
| Jun 9, 2016 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS:PARTICIPATION IN CARE PLANNING PATIENT RIGHTS:PARTICIPATION IN CARE PLANNING |
| Apr 27, 2016 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: GRIEVANCES PATIENT RIGHTS: GRIEVANCES |
| Nov 9, 2015 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: NURSING CARE PLAN NURSING CARE PLAN |
Jul 27, 2015 Follow-up to inspection
on 2015-07-02* | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: DATA COLLECTION & ANALYSIS |
| Jul 2, 2015 | 18 | 0 | 0 | 18 | Read full report |
Deficiencies cited in this report: QAPI DATA COLLECTION & ANALYSIS MEDICAL STAFF ORGANIZATION & ACCOUNTABILITY MEDICAL STAFF BYLAWS NURSING SERVICES ORGANIZATION OF NURSING SERVICES STAFFING AND DELIVERY OF CARE RN SUPERVISION OF NURSING CARE ADMINISTRATION OF DRUGS QAPI DATA COLLECTION & ANALYSIS MEDICAL STAFF ORGANIZATION & ACCOUNTABILITY MEDICAL STAFF BYLAWS NURSING SERVICES ORGANIZATION OF NURSING SERVICES STAFFING AND DELIVERY OF CARE RN SUPERVISION OF NURSING CARE ADMINISTRATION OF DRUGS |
| Jun 10, 2015 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: TRANSFER OR REFERRAL TRANSFER OR REFERRAL |
| May 22, 2015 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: NURSING CARE PLAN NURSING CARE PLAN |
| May 21, 2015 | 0 | 4 | 0 | 4 | Read full report |
Deficiencies cited in this report: No Description Available No Description Available LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD |
| Mar 30, 2015 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: NURSING CARE PLAN NURSING CARE PLAN |
| Feb 19, 2015 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: STAFFING AND DELIVERY OF CARE STAFFING AND DELIVERY OF CARE |
| Feb 11, 2015 | 4 | 0 | 0 | 4 | Read full report |
Deficiencies cited in this report: COMPLIANCE WITH 489.24 ON CALL PHYSICIANS COMPLIANCE WITH 489.24 ON CALL PHYSICIANS |
| Jul 7, 2014 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: REASSESSMENT OF A DISCHARGE PLAN REASSESSMENT OF A DISCHARGE PLAN |
| Apr 18, 2014 | 4 | 0 | 0 | 4 | Read full report |
Deficiencies cited in this report: COMPLIANCE WITH 489.24 APPROPRIATE TRANSFER COMPLIANCE WITH 489.24 APPROPRIATE TRANSFER |
| Mar 19, 2014 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE RN SUPERVISION OF NURSING CARE |
| Dec 30, 2013 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: NURSING CARE PLAN NURSING CARE PLAN |
| Mar 8, 2013 | 0 | 20 | 0 | 20 | 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 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 Means of Egress - General |
| Mar 8, 2013 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: OPERATING ROOM POLICIES OPERATING ROOM POLICIES |
| Dec 13, 2012 | 4 | 0 | 0 | 4 | Read full report |
Deficiencies cited in this report: COMPLIANCE WITH 489.24 APPROPRIATE TRANSFER COMPLIANCE WITH 489.24 APPROPRIATE TRANSFER |
| Oct 10, 2012 | 4 | 0 | 0 | 4 | Read full report |
Deficiencies cited in this report: IMPLEMENTATION OF A DISCHARGE PLAN TRANSFER OR REFERRAL IMPLEMENTATION OF A DISCHARGE PLAN TRANSFER OR REFERRAL |
| Sep 18, 2012 | 10 | 0 | 0 | 10 | Read full report |
Deficiencies cited in this report: NURSING SERVICES ORGANIZATION OF NURSING SERVICES STAFFING AND DELIVERY OF CARE NURSING CARE PLAN ADMINISTRATION OF DRUGS NURSING SERVICES ORGANIZATION OF NURSING SERVICES STAFFING AND DELIVERY OF CARE NURSING CARE PLAN ADMINISTRATION OF DRUGS |
| Aug 30, 2011 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: STAFFING AND DELIVERY OF CARE STAFFING AND DELIVERY OF CARE |
| Aug 23, 2011 | 4 | 0 | 0 | 4 | Read full report |
Deficiencies cited in this report: No Description Available UNUSABLE DRUGS NOT USED No Description Available UNUSABLE DRUGS NOT USED |
| Dec 9, 2010 | 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 LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD |
| Oct 20, 2010 | 22 | 0 | 0 | 22 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT 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 PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT 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 PATIENT RIGHTS: RESTRAINT OR SECLUSION |
| Aug 11, 2010 | 4 | 0 | 0 | 4 | Read full report |
Deficiencies cited in this report: ADMINISTRATION OF DRUGS DELIVERY OF DRUGS ADMINISTRATION OF DRUGS DELIVERY OF DRUGS |
| Jan 14, 2010 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: NURSING CARE PLAN NURSING CARE PLAN |
