Aug 20, 2024 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: DATA COLLECTION & ANALYSIS RN SUPERVISION OF NURSING CARE |
Dec 28, 2023 | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING MEDICAL RECORD SERVICES |
Aug 16, 2021 | 5 | 0 | 0 | 5 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT STAFFING AND DELIVERY OF CARE RN SUPERVISION OF NURSING CARE FORM AND RETENTION OF RECORDS |
Aug 29, 2018 | 5 | 0 | 0 | 5 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING QUALITY IMPROVEMENT ACTIVITIES ORGANIZATION AND STAFFING CONTENT OF RECORD: FINAL DIAGNOSIS RESPIRATORY CARE PERSONNEL POLICIES |
Apr 11, 2018 | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION ADMINISTRATION OF DRUGS DELIVERY OF DRUGS |
Jun 23, 2016 Follow-up to inspection on 2016-05-04* | 6 | 0 | 0 | 6 | Read full report |
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE DISCHARGE PLANNING REASSESSMENT OF A DISCHARGE PLAN EVALUATION INCLUDES INVENTORY OF ASSETS INDIVIDUAL COMPREHENSIVE TREATMENT PLAN PLAN INCLUDES SHORT TERM/LONG RANGE GOALS |
May 4, 2016 | 6 | 0 | 0 | 6 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: RESTRAINT OR SECLUSION STAFFING AND DELIVERY OF CARE RN SUPERVISION OF NURSING CARE INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROFESSIONAL INFECTION CONTROL PROGRAM |
Dec 1, 2015 Follow-up to inspection on 2015-10-14* | 4 | 0 | 0 | 4 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT ORGANIZATION OF NURSING SERVICES RN SUPERVISION OF NURSING CARE NURSING CARE PLAN |
Oct 14, 2015 | 26 | 0 | 0 | 26 | Read full report |
Deficiencies cited in this report: GOVERNING BODY MEDICAL STAFF - ACCOUNTABILITY CHIEF EXECUTIVE OFFICER PATIENT RIGHTS PATIENT RIGHTS: REVIEW OF GRIEVANCES PATIENT RIGHTS: PERSONAL PRIVACY PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT PATIENT VISITATION RIGHTS PATIENT SAFETY NURSING SERVICES ORGANIZATION OF NURSING SERVICES STAFFING AND DELIVERY OF CARE RN SUPERVISION OF NURSING CARE NURSING CARE PLAN ADMINISTRATION OF DRUGS MEDICAL RECORD SERVICES FORM AND RETENTION OF RECORDS CONTENT OF RECORD: ORDERS,NOTES,REPORTS SPECIAL PROVISIONS APPLYING TO PSYCHIATRIC HOSPITALS MEET COPS IN 482.1 - 482.23 AND 482.25 - 482.57 SPECIAL MEDICAL RECORD REQUIREMENTS PROGRESS NOTES RECORDED BY NURSE SPECIAL STAFF REQUIREMENTS FOR PSYCHIATRIC HOSPITALS ADEQUATE PERSONNEL TO PROVIDE ACTIVE TREATMENT INPATIENT PSYCH SERVICES UNDER QUALIFIED DIRECTOR ADEQUATE STAFF TO PROVIDE NECESSARY NURSING CARE |
Sep 10, 2015 | 10 | 0 | 0 | 10 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: REVIEW OF GRIEVANCES PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION PATIENT RIGHTS: PERSONAL PRIVACY PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT RN SUPERVISION OF NURSING CARE DISCHARGE PLANNING TIMELY DISCHARGE PLANNING EVALUATIONS IMPLEMENTATION OF A DISCHARGE PLAN REASSESSMENT OF A DISCHARGE PLAN |
Oct 24, 2013 | 7 | 0 | 0 | 7 | Read full report |
Deficiencies cited in this report: CONTRACTED SERVICES PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT MEDICAL STAFF CREDENTIALING COMPETENT DIETARY STAFF INDIVIDUAL COMPREHENSIVE TREATMENT PLAN PLAN BASED ON INVENTORY OF STRENGTHS/DISABILITIES ACTIVITIES PROGRAM APPROPRIATE TO NEEDS/INTERESTS |
Aug 1, 2013 | 8 | 0 | 0 | 8 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT SAFETY LICENSURE OF NURSING STAFF RN SUPERVISION OF NURSING CARE PATIENT CARE ASSIGNMENTS SPECIAL STAFF REQUIREMENTS FOR PSYCHIATRIC HOSPITALS QUALIFIED DIRECTOR OF PSYCHIATRIC NURSING SERVICES PARTICIPATES IN FORMULATION OF TREATMENT PLANS |
Aug 23, 2012 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: REASSESSMENT OF A DISCHARGE PLAN |
Apr 14, 2011 | 15 | 0 | 0 | 15 | Read full report |
Deficiencies cited in this report: CONTRACTED SERVICES PATIENT RIGHTS: INFORMED CONSENT No Description Available MEDICAL STAFF CREDENTIALING MEDICAL STAFF RESPONSIBILITIES - H&P RN SUPERVISION OF NURSING CARE NURSING CARE PLAN No Description Available MEDICAL RECORD SERVICES PHARMACY DRUG RECORDS RADIOLOGIST RESPONSIBILITIES INFECTION CONTROL PROGRAM PLAN INCLUDES SPECIFIC TREATMENT MODALITIES UTILIZED PLAN INCLUDES RESPONSIBILITIES OF TREATMENT TEAM ACTIVITIES PROGRAM APPROPRIATE TO NEEDS/INTERESTS |
Mar 1, 2011 Follow-up to inspection on 2010-11-10* | 5 | 0 | 0 | 5 | Read full report |
Deficiencies cited in this report: No Description Available RN SUPERVISION OF NURSING CARE NURSING CARE PLAN EVALUATION INCLUDES INVENTORY OF ASSETS PLAN INCLUDES SHORT TERM/LONG RANGE GOALS |
Mar 1, 2011 Follow-up to inspection on 2010-11-24* | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE |
Jan 13, 2011 Follow-up to inspection on 2010-11-10* | 8 | 0 | 0 | 8 | Read full report |
Deficiencies cited in this report: No Description Available NURSING SERVICES RN SUPERVISION OF NURSING CARE NURSING CARE PLAN PATIENT CARE ASSIGNMENTS EVALUATION INCLUDES INVENTORY OF ASSETS PLAN INCLUDES SHORT TERM/LONG RANGE GOALS ADEQUATE STAFF TO PROVIDE THERAPEUTIC ACTIVITIES |
Jan 13, 2011 Follow-up to inspection on 2010-11-24* | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: REVIEW OF GRIEVANCES RN SUPERVISION OF NURSING CARE |
Dec 7, 2010 Follow-up to inspection on 2010-11-10* | 29 | 0 | 0 | 29 | Read full report |
Deficiencies cited in this report: GOVERNING BODY CHIEF EXECUTIVE OFFICER CONTRACTED SERVICES PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT QAPI No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available NURSING SERVICES ORGANIZATION OF NURSING SERVICES RN SUPERVISION OF NURSING CARE NURSING CARE PLAN PATIENT CARE ASSIGNMENTS SUPERVISION OF CONTRACT STAFF MAINTENANCE OF PHYSICAL PLANT SPECIAL PROVISIONS APPLYING TO PSYCHIATRIC HOSPITALS MEET COPS IN 482.1 - 482.23 AND 482.25 - 482.57 MEET STAFFING REQUIREMENTS IN 482.62 EVALUATION INCLUDES INVENTORY OF ASSETS PLAN INCLUDES SHORT TERM/LONG RANGE GOALS PLAN INCLUDES SPECIFIC TREATMENT MODALITIES UTILIZED PROGRESS NOTES CONTAIN ASSESSMENT OF PROGRESS ADEQUATE STAFF TO PROVIDE NECESSARY NURSING CARE ADEQUATE STAFF TO PROVIDE THERAPEUTIC ACTIVITIES |
Nov 24, 2010 | 8 | 0 | 0 | 8 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: REVIEW OF GRIEVANCES PATIENT RIGHTS: GRIEVANCE REVIEW TIME FRAMES PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT No Description Available PATIENT SAFETY RN SUPERVISION OF NURSING CARE SUPERVISION OF CONTRACT STAFF |
Nov 10, 2010 | 29 | 0 | 0 | 29 | Read full report |
Deficiencies cited in this report: GOVERNING BODY CHIEF EXECUTIVE OFFICER CONTRACTED SERVICES PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT QAPI No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available NURSING SERVICES ORGANIZATION OF NURSING SERVICES RN SUPERVISION OF NURSING CARE NURSING CARE PLAN PATIENT CARE ASSIGNMENTS SUPERVISION OF CONTRACT STAFF MAINTENANCE OF PHYSICAL PLANT SPECIAL PROVISIONS APPLYING TO PSYCHIATRIC HOSPITALS MEET COPS IN 482.1 - 482.23 AND 482.25 - 482.57 MEET STAFFING REQUIREMENTS IN 482.62 EVALUATION INCLUDES INVENTORY OF ASSETS PLAN INCLUDES SHORT TERM/LONG RANGE GOALS PLAN INCLUDES SPECIFIC TREATMENT MODALITIES UTILIZED PROGRESS NOTES CONTAIN ASSESSMENT OF PROGRESS ADEQUATE STAFF TO PROVIDE NECESSARY NURSING CARE ADEQUATE STAFF TO PROVIDE THERAPEUTIC ACTIVITIES |
Oct 15, 2010 | 12 | 0 | 0 | 12 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING NURSING SERVICES STAFFING AND DELIVERY OF CARE PATIENT CARE ASSIGNMENTS SPECIAL PROVISIONS APPLYING TO PSYCHIATRIC HOSPITALS MEET COPS IN 482.1 - 482.23 AND 482.25 - 482.57 MEET STAFFING REQUIREMENTS IN 482.62 SPECIAL STAFF REQUIREMENTS FOR PSYCHIATRIC HOSPITALS QUALIFIED DIRECTOR OF PSYCHIATRIC NURSING SERVICES AVAILABILITY OF REGISTERED NURSE 24 HRS EACH DAY ADEQUATE STAFF TO PROVIDE NECESSARY NURSING CARE |