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417 S WHITLOCK ST BREMEN, IN 46506 | Proprietary

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Health deficiencies are assigned during inspections that assess compliance with rules related to patient health and safety. Examples include violations of patients' rights and safety standards, as well as the administration of drugs and other treatments.

Life Safety deficiencies are assigned during inspections that assess a facility's compliance with National Fire Protection Association codes related to life safety in health care facilities. They are often conducted in tandem with health inspections. Examples include faulty or improperly maintained fire suppression and electrical systems.

Emergency Preparedness deficiencies can be cited during either a health or life safety inspection and relate to violations of CMS' Emergency Preparedness Rule. Examples include a lack of emergency plans, inadequate staff training and insufficient emergency supplies.

Complete reports and deficiency counts

Report date	Health Deficiencies	Life Safety	Emergency Preparedness	Total
Apr 5, 2022	3	0	0	3	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT STAFFING AND DELIVERY OF CARE RN/LPN STAFFING
May 2, 2019	7	0	0	7	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS:PARTICIPATION IN CARE PLANNING PATIENT RIGHTS: PERSONAL PRIVACY PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT RN SUPERVISION OF NURSING CARE NURSING CARE PLAN
Aug 24, 2018	4	0	0	4	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: PRIVACY AND SAFETY RN SUPERVISION OF NURSING CARE NURSING CARE PLAN
Jul 27, 2016	3	0	0	3	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING RN SUPERVISION OF NURSING CARE NURSING CARE PLAN
Jun 23, 2016	1	0	0	1	Read full report
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE
Sep 14, 2015	1	0	0	1	Read full report
Deficiencies cited in this report: CONTENT OF RECORD: CONSULTATIVE RECORDS
Aug 10, 2015	1	0	0	1	Read full report
Deficiencies cited in this report: MEDICAL STAFF BYLAWS
Jul 22, 2015 Follow-up to inspection on 2015-04-15*	6	0	0	6	Read full report
Deficiencies cited in this report: LIFE SAFETY FROM FIRE SPECIAL MEDICAL RECORD REQUIREMENTS PLAN INCLUDES SHORT TERM/LONG RANGE GOALS PLAN INCLUDES SPECIFIC TREATMENT MODALITIES UTILIZED MONITOR/EVALUATE QUALITY/APPROPRIATENESS OF SERVICES PARTICIPATES IN FORMULATION OF TREATMENT PLANS
Jul 21, 2015 Follow-up to inspection on 2015-04-15*	0	3	0	3	Read full report
Deficiencies cited in this report: No Description Available No Description Available No Description Available
Apr 15, 2015	0	32	0	32	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 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 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
Apr 15, 2015	17	0	0	17	Read full report
Deficiencies cited in this report: CONTRACTED SERVICES PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT SAFETY QAPI GOVERNING BODY, STANDARD TAG RN SUPERVISION OF NURSING CARE CONTENT OF RECORD: ORDERS,NOTES,REPORTS SAFETY FOR PATIENTS AND PERSONNEL PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE INFECTION CONTROL PROGRAM SPECIAL MEDICAL RECORD REQUIREMENTS PLAN INCLUDES SHORT TERM/LONG RANGE GOALS PLAN INCLUDES SPECIFIC TREATMENT MODALITIES UTILIZED PLAN INCLUDES RESPONSIBILITIES OF TREATMENT TEAM MONITOR/EVALUATE QUALITY/APPROPRIATENESS OF SERVICES PARTICIPATES IN FORMULATION OF TREATMENT PLANS SOCIAL SERVICES
Jun 18, 2014	5	0	0	5	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION ORGANIZATION OF NURSING SERVICES STAFFING AND DELIVERY OF CARE RN SUPERVISION OF NURSING CARE
Apr 30, 2014 Follow-up to inspection on 2014-01-23*	13	0	0	13	Read full report
Deficiencies cited in this report: CONTRACTED SERVICES MEDICAL STAFF ORGANIZATION & ACCOUNTABILITY ADMINISTRATION OF DRUGS SCOPE OF RADIOLOGIC SERVICES LIFE SAFETY FROM FIRE SOCIAL SERVICES RECORDS PROVIDE ASSESSMENT OF HOME PLANS EVALUATION ESTIMATES INTELLECTUAL/MEMORY FUNCTIONING EVALUATION INCLUDES INVENTORY OF ASSETS PLAN INCLUDES SHORT TERM/LONG RANGE GOALS PLAN INCLUDES SPECIFIC TREATMENT MODALITIES UTILIZED PLAN INCLUDES RESPONSIBILITIES OF TREATMENT TEAM MONITOR/EVALUATE QUALITY/APPROPRIATENESS OF SERVICES PARTICIPATES IN FORMULATION OF TREATMENT PLANS
Feb 20, 2014 Follow-up to inspection on 2014-01-23*	18	0	0	18	Read full report
Deficiencies cited in this report: CONTRACTED SERVICES MEDICAL STAFF ORGANIZATION & ACCOUNTABILITY ADMINISTRATION OF DRUGS SCOPE OF RADIOLOGIC SERVICES LIFE SAFETY FROM FIRE SPECIAL MEDICAL RECORD REQUIREMENTS SOCIAL SERVICES RECORDS PROVIDE ASSESSMENT OF HOME PLANS PSYCHIATRIC EVALUATION INDIVIDUAL COMPREHENSIVE TREATMENT PLAN TREATMENT DOCUMENTED TO ASSURE ACTIVE THERAPEUTIC EFFORTS RECORDS OF DISCHARGED PATIENTS INCLUDE DISCHARGE SUMMARY DISCHARGE SUMMARY INCLUDES RECOMMENDATIONS ON FOLLOWUP DISCHARGE SUMMARY INCLUDES SUMMARY OF CONDITION ON DISCHARGE SPECIAL STAFF REQUIREMENTS FOR PSYCHIATRIC HOSPITALS TRAINING/EXPERIENCE REQUIREMENTS FOR DIRECTOR MONITOR/EVALUATE QUALITY/APPROPRIATENESS OF SERVICES PARTICIPATES IN FORMULATION OF TREATMENT PLANS SOCIAL SERVICES
Jan 23, 2014	20	0	0	20	Read full report
Deficiencies cited in this report: CONTRACTED SERVICES MEDICAL STAFF ORGANIZATION & ACCOUNTABILITY NURSING SERVICES RN SUPERVISION OF NURSING CARE ADMINISTRATION OF DRUGS SCOPE OF RADIOLOGIC SERVICES LIFE SAFETY FROM FIRE SPECIAL MEDICAL RECORD REQUIREMENTS SOCIAL SERVICES RECORDS PROVIDE ASSESSMENT OF HOME PLANS PSYCHIATRIC EVALUATION INDIVIDUAL COMPREHENSIVE TREATMENT PLAN TREATMENT DOCUMENTED TO ASSURE ACTIVE THERAPEUTIC EFFORTS RECORDS OF DISCHARGED PATIENTS INCLUDE DISCHARGE SUMMARY DISCHARGE SUMMARY INCLUDES RECOMMENDATIONS ON FOLLOWUP DISCHARGE SUMMARY INCLUDES SUMMARY OF CONDITION ON DISCHARGE SPECIAL STAFF REQUIREMENTS FOR PSYCHIATRIC HOSPITALS TRAINING/EXPERIENCE REQUIREMENTS FOR DIRECTOR MONITOR/EVALUATE QUALITY/APPROPRIATENESS OF SERVICES PARTICIPATES IN FORMULATION OF TREATMENT PLANS SOCIAL SERVICES
Jan 23, 2014	5	0	0	5	Read full report
Deficiencies cited in this report: CONTRACTED SERVICES MEDICAL STAFF ORGANIZATION & ACCOUNTABILITY NURSING SERVICES RN SUPERVISION OF NURSING CARE ADMINISTRATION OF DRUGS
Jan 21, 2014	0	10	0	10	Read full report
Deficiencies cited in this report: 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
Nov 6, 2013	14	0	0	14	Read full report
Deficiencies cited in this report: CONTRACTED SERVICES PATIENT RIGHTS: RESTRAINT OR SECLUSION MEDICAL STAFF ORGANIZATION & ACCOUNTABILITY MEDICAL STAFF RESPONSIBILITIES - UPDATE NURSING SERVICES ORGANIZATION OF NURSING SERVICES RN SUPERVISION OF NURSING CARE NURSING CARE PLAN ADMINISTRATION OF DRUGS FORM AND RETENTION OF RECORDS MEDICAL RECORD SERVICES CONTENT OF RECORD: ORDERS DATED & SIGNED CONTENT OF RECORD: FINAL DIAGNOSIS REASSESSMENT OF DISCHARGE PLANNING PROCESS

Some state health departments and regional offices of the Centers for Medicare and Medicaid Services sometimes did not upload their inspection reports into a central computer system that could then be shared by us. In such cases, CMS identified the dates of the missing inspections and the number of deficiencies identified. You can request the actual reports from CMS or your state health department.

* Deficiencies cited in follow-up inspections are not counted toward a facility's total deficiency count.

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Complete reports and deficiency counts