Nov 15, 2021 | 6 | 0 | 0 | 6 | Read full report |
Deficiencies cited in this report: MEDICAL STAFF CREDENTIALING ADMINISTRATION OF DRUGS PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL SURVEILLANCE, PREVENTION |
Nov 15, 2021 | 0 | 10 | 0 | 10 | Read full report |
Deficiencies cited in this report: Emergency Lighting Exit Signage Vertical Openings - Enclosure Hazardous Areas - Enclosure Fire Alarm System - Installation HVAC Fire Drills Gas and Vacuum Piped Systems - Information an Electrical Systems - Other Electrical Systems - Receptacles |
Apr 1, 2021 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: MEDICAL RECORD SERVICES FORM AND RETENTION OF RECORDS |
Feb 7, 2019 | 9 | 0 | 0 | 9 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: RESTRAINT OR SECLUSION CONTENT OF RECORD: ORDERS,NOTES,REPORTS SECURE STORAGE UNUSABLE DRUGS NOT USED DIRECTOR OF DIETARY SERVICES PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM |
Feb 7, 2019 | 0 | 13 | 0 | 13 | Read full report |
Deficiencies cited in this report: Building Construction Type and Height Stairways and Smokeproof Enclosures Horizontal Exits Illumination of Means of Egress Exit Signage Vertical Openings - Enclosure Hazardous Areas - Enclosure Fire Alarm System - Installation Sprinkler System - Maintenance and Testing Elevators Maintenance, Inspection and Testing - Doors Electrical Systems - Receptacles Gas Equipment - Cylinder and Container Storag |
Mar 13, 2015 | 10 | 0 | 0 | 10 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: CARE IN SAFE SETTING DATA COLLECTION & ANALYSIS QAPI GOVERNING BODY, STANDARD TAG SECURE STORAGE DIRECTOR OF DIETARY SERVICES PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM |
Mar 13, 2015 | 0 | 21 | 0 | 21 | 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 No Description Available No Description Available No Description Available |
Aug 9, 2012 Follow-up to inspection on 2012-06-29* | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE |
Jul 26, 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 No Description Available |
Jun 29, 2012 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: GRIEVANCE REVIEW TIME FRAMES PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION |
Jun 29, 2012 | 22 | 0 | 0 | 22 | Read full report |
Deficiencies cited in this report: GOVERNING BODY MEDICAL STAFF - ACCOUNTABILITY PATIENT RIGHTS: GRIEVANCE REVIEW TIME FRAMES PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION PATIENT RIGHTS: CARE IN SAFE SETTING QAPI No Description Available No Description Available No Description Available QAPI EXECUTIVE RESPONSIBILITIES No Description Available ADMINISTRATION OF DRUGS CONTENT OF RECORD CONTENT OF RECORD: FINAL DIAGNOSIS UNUSABLE DRUGS NOT USED DIRECTOR OF DIETARY SERVICES INFECTION CONTROL PROGRAM OPERATING ROOM POLICIES DATA COLLECTION & ANALYSIS QUALITY IMPROVEMENT ACTIVITIES QAPI PERFORMANCE IMPROVEMENT PROJECTS QAPI EXECUTIVE RESPONSIBILITIES |
Sep 16, 2010 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING |
Jan 25, 2010 Follow-up to inspection (date unspecified)* | 8 | 0 | 0 | 8 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: INFORMED CONSENT ORDERS FOR DRUGS AND BIOLOGICALS CONTENT OF RECORD: ORDERS,NOTES,REPORTS CONTENT OF RECORD: FINAL DIAGNOSIS UNUSABLE DRUGS NOT USED WRITTEN PROTOCOL FOR TISSUE SPECIMENS ORGANIZATION PRE-ANESTHESIA EVALUATION |