| Jun 11, 2024 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: PERSONAL PRIVACY |
Feb 29, 2024 Follow-up to inspection
on 2024-01-22* | 5 | 0 | 0 | 5 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING RN SUPERVISION OF NURSING CARE PATIENT CARE ASSIGNMENTS SUPERVISION OF CONTRACT STAFF |
| Jan 22, 2024 | 10 | 0 | 0 | 10 | 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 QUALITY IMPROVEMENT ACTIVITIES RN SUPERVISION OF NURSING CARE PATIENT CARE ASSIGNMENTS SUPERVISION OF CONTRACT STAFF Treatment Plan |
| Dec 5, 2023 | 5 | 0 | 0 | 5 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: NOTICE OF RIGHTS PATIENT RIGHTS:PARTICIPATION IN CARE PLANNING PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT USE OF RESTRAINT OR SECLUSION |
| Oct 18, 2023 | 5 | 0 | 0 | 5 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT SAFETY |
| Jul 12, 2023 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT |
| Jun 20, 2023 | 9 | 0 | 0 | 9 | Read full report |
Deficiencies cited in this report: LICENSURE OF PERSONNEL PATIENT RIGHTS: INFORMED CONSENT QUALITY IMPROVEMENT ACTIVITIES PATIENT SAFETY RN SUPERVISION OF NURSING CARE NURSING CARE PLAN ADMINISTRATION OF DRUGS Recording Progress Notes Personnel - Discharge Planning |
| Mar 30, 2023 | 20 | 0 | 0 | 20 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION QUALITY IMPROVEMENT ACTIVITIES FORM AND RETENTION OF RECORDS CONTROLLED DRUGS KEPT LOCKED SCOPE AND FREQUENCY OF REVIEW MAINTENANCE OF PHYSICAL PLANT FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROFESSIONAL INFECTION CONTROL PROGRAM INFECTION CONTROL SURVEILLANCE, PREVENTION Neurological Examination Psych Eval - Medical History Treatment Plan Treatment Plan - Substantiated Diagnosis Personnel - Active Treatment |
| Mar 30, 2023 | 0 | 6 | 0 | 6 | Read full report |
Deficiencies cited in this report: Fire Alarm System - Testing and Maintenance Sprinkler System - Maintenance and Testing Corridors - Construction of Walls Corridor - Openings HVAC Fire Drills |
| Mar 1, 2023 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: NOTICE OF RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING |
| Oct 19, 2022 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT |
| Jul 1, 2020 | 4 | 0 | 0 | 4 | Read full report |
Deficiencies cited in this report: CHIEF EXECUTIVE OFFICER QUALITY IMPROVEMENT ACTIVITIES PATIENT CARE ASSIGNMENTS INFECTION CONTROL PROGRAM |
Aug 27, 2019 Follow-up to inspection
on 2019-06-26* | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING INFECTION CONTROL PROGRAM |
| Jun 26, 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 |
| Apr 9, 2019 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: INFORMED CONSENT |
| Feb 14, 2019 | 6 | 0 | 0 | 6 | Read full report |
Deficiencies cited in this report: LICENSURE OF PERSONNEL PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING RN SUPERVISION OF NURSING CARE NURSING CARE PLAN ADMINISTRATION OF DRUGS |
| Dec 28, 2018 | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING MEDICAL RECORD SERVICES INDIVIDUAL COMPREHENSIVE TREATMENT PLAN |
| Aug 3, 2018 | 0 | 22 | 0 | 22 | Read full report |
Deficiencies cited in this report: Alcohol Based Hand Rub Dispenser (ABHR) Corridors - Construction of Walls Corridors - Construction of Walls Corridors - Construction of Walls Corridors - Construction of Walls Corridor - Openings Corridor - Openings Corridor - Openings Corridor - Openings HVAC HVAC HVAC HVAC HVAC HVAC HVAC Electrical Systems - Essential Electric Syste Electrical Systems - Essential Electric Syste Electrical Systems - Essential Electric Syste Electrical Systems - Essential Electric Syste Electrical Systems - Essential Electric Syste Electrical Systems - Essential Electric Syste |
| Aug 1, 2018 | 11 | 0 | 0 | 11 | Read full report |
Deficiencies cited in this report: EMERGENCY SERVICES PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT PATIENT RIGHTS: RESTRAINT OR SECLUSION RN SUPERVISION OF NURSING CARE MEDICAL RECORD SERVICES MAINTENANCE OF PHYSICAL PLANT FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM EVALUATION ESTIMATES INTELLECTUAL/MEMORY FUNCTIONING INDIVIDUAL COMPREHENSIVE TREATMENT PLAN |
| Apr 17, 2018 | 8 | 0 | 0 | 8 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: GRIEVANCES PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION RN SUPERVISION OF NURSING CARE NURSING CARE PLAN SUPERVISION OF CONTRACT STAFF ADMINISTRATION OF DRUGS INFECTION CONTROL PROGRAM IMPLEMENTATION OF A DISCHARGE PLAN |
| Jul 21, 2017 | 4 | 0 | 0 | 4 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT PATIENT RIGHTS: RESTRAINT OR SECLUSION FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE |
| May 11, 2016 | 11 | 0 | 0 | 11 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING QAPI GOVERNING BODY, STANDARD TAG FORM AND RETENTION OF RECORDS CONTENT OF RECORD: ORDERS DATED & SIGNED PHARMACY: REPORTING ADVERSE EVENTS RADIOLOGIC SERVICES SAFETY POLICY AND PROCEDURES RADIOLOGIST RESPONSIBILITIES INFECTION CONTROL PROFESSIONAL INFECTION CONTROL PROGRAM DIRECTOR OF RESPIRATORY SERVICES |
| Apr 19, 2016 | 12 | 0 | 0 | 12 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: REVIEW OF GRIEVANCES PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT NURSING SERVICES RN SUPERVISION OF NURSING CARE NURSING CARE PLAN PATIENT CARE ASSIGNMENTS SPECIAL PROVISIONS APPLYING TO PSYCHIATRIC HOSPITALS MEET COPS IN 482.1 - 482.23 AND 482.25 - 482.57 SPECIAL MEDICAL RECORD REQUIREMENTS INDIVIDUAL COMPREHENSIVE TREATMENT PLAN SPECIAL STAFF REQUIREMENTS FOR PSYCHIATRIC HOSPITALS ADEQUATE PERSONNEL TO EVALUATE PATIENTS |
Jan 13, 2015 Follow-up to inspection
on 2014-11-17* | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: INDIVIDUAL COMPREHENSIVE TREATMENT PLAN |
| Nov 17, 2014 | 10 | 0 | 0 | 10 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: GRIEVANCES PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT QAPI DATA COLLECTION & ANALYSIS QUALITY IMPROVEMENT ACTIVITIES PATIENT SAFETY QAPI PERFORMANCE IMPROVEMENT PROJECTS QAPI GOVERNING BODY, STANDARD TAG QAPI EXECUTIVE RESPONSIBILITIES INDIVIDUAL COMPREHENSIVE TREATMENT PLAN |
May 30, 2014 Follow-up to inspection
on 2014-03-21* | 10 | 0 | 0 | 10 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING DATA COLLECTION & ANALYSIS NURSING SERVICES RN SUPERVISION OF NURSING CARE NURSING CARE PLAN MEET COPS IN 482.1 - 482.23 AND 482.25 - 482.57 INDIVIDUAL COMPREHENSIVE TREATMENT PLAN PLAN INCLUDES SHORT TERM/LONG RANGE GOALS ADEQUATE STAFF TO PROVIDE THERAPEUTIC ACTIVITIES |
| Mar 25, 2014 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: COMPLIANCE WITH 489.24 RECIPIENT HOSPITAL RESPONSIBILITIES |
| Mar 21, 2014 | 20 | 0 | 0 | 20 | Read full report |
Deficiencies cited in this report: MEDICAL STAFF - ACCOUNTABILITY PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING DATA COLLECTION & ANALYSIS NURSING SERVICES STAFFING AND DELIVERY OF CARE NURSING CARE PLAN ADMINISTRATION OF DRUGS SPECIAL PROVISIONS APPLYING TO PSYCHIATRIC HOSPITALS MEET COPS IN 482.1 - 482.23 AND 482.25 - 482.57 SPECIAL MEDICAL RECORD REQUIREMENTS IDENTIFICATION DATA INCLUDES PATIENT'S LEGAL STATUS PROVISIONAL DIAGNOSIS MADE AT TIME OF ADMISSION PSYCHIATRIC EVALUATION INDIVIDUAL COMPREHENSIVE TREATMENT PLAN PLAN INCLUDES SHORT TERM/LONG RANGE GOALS PLAN INCLUDES SPECIFIC TREATMENT MODALITIES UTILIZED SPECIAL STAFF REQUIREMENTS FOR PSYCHIATRIC HOSPITALS ADEQUATE STAFF TO PROVIDE NECESSARY NURSING CARE ADEQUATE STAFF TO PROVIDE THERAPEUTIC ACTIVITIES |
| May 23, 2013 | 6 | 0 | 0 | 6 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT NURSING SERVICES STAFFING AND DELIVERY OF CARE RN SUPERVISION OF NURSING CARE PATIENT CARE ASSIGNMENTS ADEQUATE STAFF TO PROVIDE NECESSARY NURSING CARE |
| Mar 14, 2013 | 4 | 0 | 0 | 4 | Read full report |
Deficiencies cited in this report: NURSING CARE PLAN ADMINISTRATION OF DRUGS DELIVERY OF DRUGS PLAN INCLUDES SUBSTANTIATED DIAGNOSIS |
| Mar 12, 2013 | 0 | 3 | 0 | 3 | Read full report |
Deficiencies cited in this report: No Description Available No Description Available No Description Available |
| Dec 10, 2012 | 6 | 0 | 0 | 6 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING QUALITY IMPROVEMENT ACTIVITIES SPECIAL STAFF REQUIREMENTS FOR PSYCHIATRIC HOSPITALS ADEQUATE PERSONNEL TO EVALUATE PATIENTS AVAILABILITY OF REGISTERED NURSE 24 HRS EACH DAY |
