| May 26, 2022 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: RESTRAINT OR SECLUSION |
| Apr 18, 2022 | 13 | 0 | 0 | 13 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION ACCEPTING VERBAL ORDERS FOR DRUGS MEDICAL RECORD SERVICES CONTENT OF RECORD: CONSULTATIVE RECORDS PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM INFECTION CONTROL SURVEILLANCE, PREVENTION DISCHARGE PLANNING DISCHARGE PLANNING- TRANSMISSION INFORMATION DISCHARGE PLANNING- PAC SERVICES |
| Apr 18, 2022 | 0 | 7 | 0 | 7 | Read full report |
Deficiencies cited in this report: Emergency Lighting Exit Signage Fire Alarm System - Installation Sprinkler System - Maintenance and Testing Maintenance, Inspection and Testing - Doors Gas and Vacuum Piped Systems - Central Supply Electrical Systems - Receptacles |
| Oct 29, 2021 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: EMERGENCY SERVICES POLICIES |
Mar 25, 2020 Follow-up to inspection
on 2020-02-28* | 11 | 0 | 0 | 11 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS 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: RESTRAINT OR SECLUSION PATIENT RIGHTS:RESTRAINT/SECLUSION DEATH RPT |
| Feb 28, 2020 | 11 | 0 | 0 | 11 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS 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: RESTRAINT OR SECLUSION PATIENT RIGHTS:RESTRAINT/SECLUSION DEATH RPT |
| Mar 15, 2019 | 6 | 0 | 0 | 6 | Read full report |
Deficiencies cited in this report: GOVERNING BODY MEDICAL STAFF - ACCOUNTABILITY QAPI PATIENT SAFETY MEDICAL STAFF MEDICAL STAFF PERIODIC APPRAISALS |
| Mar 15, 2019 | 18 | 0 | 1 | 19 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION MEDICAL STAFF CREDENTIALING ADMINISTRATION OF DRUGS ORDERS FOR DRUGS AND BIOLOGICALS CONTENT OF RECORD: ORDERS DATED & SIGNED CONTENT OF RECORD: STANDING ORDERS UNUSABLE DRUGS NOT USED DIRECTOR OF DIETARY SERVICES PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM ORGANIZATION OF ANESTHESIA SERVICES EP Training Program |
| Mar 14, 2019 | 0 | 25 | 0 | 25 | Read full report |
Deficiencies cited in this report: Multiple Occupancies Building Construction Type and Height Means of Egress - General Stairways and Smokeproof Enclosures Stairways and Smokeproof Enclosures Horizontal Exits Illumination of Means of Egress Illumination of Means of Egress Emergency Lighting Exit Signage Exit Signage Hazardous Areas - Enclosure Hazardous Areas - Enclosure Fire Alarm System - Installation Fire Alarm System - Installation Fire Alarm System - Installation Sprinkler System - Installation Sprinkler System - Installation Portable Fire Extinguishers Corridor - Doors Elevators Fire Drills Maintenance, Inspection and Testing - Doors Gas and Vacuum Piped Systems - Information an Electrical Systems - Receptacles |
| Aug 8, 2018 | 8 | 0 | 0 | 8 | Read full report |
Deficiencies cited in this report: MEDICAL STAFF - ACCOUNTABILITY PATIENT RIGHTS: GRIEVANCES PATIENT RIGHTS: TIMELY REFERRAL OF GRIEVANCES MEDICAL STAFF ORGANIZATION & ACCOUNTABILITY CONTENT OF RECORD MEDICAL RECORD SERVICES CONTENT OF RECORD: CONSULTATIVE RECORDS CONTENT OF RECORD: DISCHARGE SUMMARY |
Jun 20, 2016 Follow-up to inspection
on 2015-08-27* | 7 | 0 | 0 | 7 | Read full report |
Deficiencies cited in this report: ADMINISTRATION OF DRUGS MEDICAL RECORD SERVICES DELIVERY OF DRUGS SECURE STORAGE FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM OPERATING ROOM POLICIES |
Apr 12, 2016 Follow-up to inspection
on 2015-08-25* | 0 | 4 | 0 | 4 | Read full report |
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available |
| Aug 27, 2015 | 9 | 0 | 0 | 9 | Read full report |
Deficiencies cited in this report: ADMINISTRATION OF DRUGS MEDICAL RECORD SERVICES DELIVERY OF DRUGS SECURE STORAGE PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM OPERATING ROOM POLICIES |
Aug 25, 2015 Follow-up to inspection
on 2013-04-18* | 0 | 2 | 0 | 2 | Read full report |
Deficiencies cited in this report: No Description Available No Description Available |
| Aug 25, 2015 | 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 |
| Aug 4, 2015 | 7 | 0 | 0 | 7 | Read full report |
Deficiencies cited in this report: QAPI QUALITY IMPROVEMENT ACTIVITIES INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROGRAM No Description Available SURGICAL SERVICES OPERATING ROOM POLICIES |
Jul 7, 2015 Follow-up to inspection
on 2013-04-18* | 0 | 3 | 0 | 3 | Read full report |
Deficiencies cited in this report: No Description Available No Description Available No Description Available |
Mar 18, 2014 Follow-up to inspection
on 2013-04-18* | 0 | 4 | 0 | 4 | Read full report |
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available |
Sep 5, 2013 Follow-up to inspection
on 2013-04-18* | 0 | 11 | 0 | 11 | 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 |
| Apr 18, 2013 | 0 | 18 | 0 | 18 | 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 |
| Mar 15, 2013 | 19 | 0 | 0 | 19 | Read full report |
Deficiencies cited in this report: MEDICAL STAFF MEDICAL STAFF - APPOINTMENTS MEDICAL STAFF - SELECTION CRITERIA PATIENT RIGHTS: GRIEVANCES PATIENT RIGHTS: CARE IN SAFE SETTING QAPI GOVERNING BODY, STANDARD TAG MEDICAL RECORD SERVICES CONTENT OF RECORD: ORDERS DATED & SIGNED CONTENT OF RECORD: STANDING ORDERS CONTENT OF RECORD: FINAL DIAGNOSIS PHARMACY DRUG RECORDS CONTROLLED DRUGS KEPT LOCKED SAFETY FOR PATIENTS AND PERSONNEL COMPETENT DIETARY STAFF PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM POST-ANESTHESIA EVALUATION |
Oct 13, 2011 Follow-up to inspection
(date unspecified)* | 11 | 0 | 0 | 11 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: CONFIDENTIALITY OF RECORDS PATIENT RIGHTS: RESTRAINT OR SECLUSION CONTENT OF RECORD: ORDERS DATED & SIGNED CONTENT OF RECORD: INFORMED CONSENT CONTENT OF RECORD: DISCHARGE SUMMARY CONTENT OF RECORD: FINAL DIAGNOSIS DELIVERY OF DRUGS FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM OPERATING ROOM POLICIES POST-ANESTHESIA EVALUATION |
Jun 22, 2011 Follow-up to inspection
(date unspecified)* | 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 |
Mar 25, 2011 Follow-up to inspection
(date unspecified)* | 0 | 16 | 0 | 16 | 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 |
Sep 15, 2010 Follow-up to inspection
(date unspecified)* | 0 | 17 | 0 | 17 | 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 |
Feb 10, 2010 Follow-up to inspection
(date unspecified)* | 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 |
