HospitalInspections.org

Deficiencies cited in this report:

PATIENT RIGHTS

PATIENT RIGHTS: NOTICE OF RIGHTS

PATIENT RIGHTS:PARTICIPATION IN CARE PLANNING

PATIENT RIGHTS: INFORMED CONSENT

PATIENT RIGHTS: CARE IN SAFE SETTING

PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT

PATIENT CARE ASSIGNMENTS

Deficiencies cited in this report:

MEDICAL STAFF - ACCOUNTABILITY

QUALITY IMPROVEMENT ACTIVITIES

NURSING CARE PLAN

MAINTENANCE OF PHYSICAL PLANT

Treatment Plan - Team Responsibilities

Deficiencies cited in this report:

PATIENT RIGHTS:PARTICIPATION IN CARE PLANNING

Deficiencies cited in this report:

PATIENT RIGHTS: CARE IN SAFE SETTING

Deficiencies cited in this report:

PATIENT RIGHTS:PARTICIPATION IN CARE PLANNING

PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT

PATIENT SAFETY

QAPI GOVERNING BODY, STANDARD TAG

Deficiencies cited in this report:

PATIENT RIGHTS

PATIENT RIGHTS: PERSONAL PRIVACY

PATIENT RIGHTS: CARE IN SAFE SETTING

PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT

PATIENT SAFETY

RN SUPERVISION OF NURSING CARE

PATIENT CARE ASSIGNMENTS

MAINTENANCE OF PHYSICAL PLANT

FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE

INFECTION CONTROL SURVEILLANCE, PREVENTION

DISCHARGE PLANNING EVALUATION

Treatment Plan - Adequate Documentation

Deficiencies cited in this report:

PATIENT RIGHTS: GRIEVANCES

PATIENT RIGHTS: INFORMED CONSENT

NURSING SERVICES

RN SUPERVISION OF NURSING CARE

DISCHARGE PLANNING - PT RE-EVALUATION

Treatment Plan - Team Responsibilities

Deficiencies cited in this report:

PATIENT RIGHTS

PATIENT RIGHTS: CARE IN SAFE SETTING

PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT

PATIENT RIGHTS: RESTRAINT OR SECLUSION

PATIENT RIGHTS: RESTRAINT OR SECLUSION

PATIENT RIGHTS: RESTRAINT OR SECLUSION

PATIENT RIGHTS: RESTRAINT OR SECLUSION

Deficiencies cited in this report:

PATIENT RIGHTS: CARE IN SAFE SETTING

MEDICAL STAFF RESPONSIBILITIES - UPDATE

Deficiencies cited in this report:

PATIENT RIGHTS: PERSONAL PRIVACY

RN SUPERVISION OF NURSING CARE

FORM AND RETENTION OF RECORDS

DISCHARGE PLANNING TIMELY EVALUATION

Treatment Plan - Adequate Documentation

Personnel - Active Treatment

Adequate Staffing

Deficiencies cited in this report:

PATIENT RIGHTS

PATIENT RIGHTS: CARE IN SAFE SETTING

NURSING CARE PLAN

PATIENT CARE ASSIGNMENTS

Deficiencies cited in this report:

PATIENT RIGHTS: EXERCISE OF RIGHTS

ORGANIZATION OF NURSING SERVICES

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

PATIENT SAFETY

RN SUPERVISION OF NURSING CARE

Director of Nursing - Responsibilities

Deficiencies cited in this report:

PATIENT RIGHTS: RESTRAINT OR SECLUSION

NURSING CARE PLAN

Deficiencies cited in this report:

PATIENT RIGHTS: CARE IN SAFE SETTING

RN SUPERVISION OF NURSING CARE

Deficiencies cited in this report:

PATIENT RIGHTS: CARE IN SAFE SETTING

PATIENT RIGHTS: RESTRAINT OR SECLUSION

RN SUPERVISION OF NURSING CARE

INFECTION CONTROL PROGRAM

STAFF EDUCATION

Deficiencies cited in this report:

Protection - Other

Sprinkler System - Installation

Sprinkler System - Supervisory Signals

Sprinkler System - Maintenance and Testing

Portable Fire Extinguishers

Subdivision of Building Spaces - Smoke Barrie

Subdivision of Building Spaces - Smoke Barrie

Subdivision of Building Spaces - Smoke Barrie

Smoking Regulations

Maintenance, Inspection and Testing - Doors

Electrical Systems - Essential Electric Syste

Electrical Systems - Essential Electric Syste

Deficiencies cited in this report:

RN SUPERVISION OF NURSING CARE

NURSING CARE PLAN

Deficiencies cited in this report:

RN SUPERVISION OF NURSING CARE

Deficiencies cited in this report:

PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT

RN SUPERVISION OF NURSING CARE

Deficiencies cited in this report:

PATIENT RIGHTS: CARE IN SAFE SETTING

PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT

RN SUPERVISION OF NURSING CARE

ADMINISTRATION OF DRUGS

INFECTION CONTROL PROGRAM

COMPLETE NEUROLOGICAL EXAM RECORDED AT TIME OF ADMISSION

EVALUATION ESTIMATES INTELLECTUAL/MEMORY FUNCTIONING

INDIVIDUAL COMPREHENSIVE TREATMENT PLAN

Deficiencies cited in this report:

Egress Doors

Portable Fire Extinguishers

Corridor - Doors

Deficiencies cited in this report:

NURSING SERVICES

RN SUPERVISION OF NURSING CARE

NURSING CARE PLAN

Deficiencies cited in this report:

PATIENT RIGHTS

PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT

DISCHARGE PLANNING

DISCHARGE PLANNING EVALUATION

DISCHARGE PLANNING-EVALUATION

IMPLEMENTATION OF A DISCHARGE PLAN

HHA AND SNF REQUIREMENTS

Deficiencies cited in this report:

PATIENT RIGHTS: CARE IN SAFE SETTING

PATIENT RIGHTS: RESTRAINT OR SECLUSION

RN SUPERVISION OF NURSING CARE

NURSING CARE PLAN

Deficiencies cited in this report:

PATIENT RIGHTS: CARE IN SAFE SETTING

QUALITY IMPROVEMENT ACTIVITIES

PATIENT SAFETY

QAPI GOVERNING BODY, STANDARD TAG

QAPI EXECUTIVE RESPONSIBILITIES

NURSING SERVICES

RN SUPERVISION OF NURSING CARE

FIVE-YEAR RETENTION OF RECORDS

PHARMACY ADMINISTRATION

PHARMACY: REPORTING ADVERSE EVENTS

UTILIZATION REVIEW COMMITTEE

INFECTION CONTROL PROGRAM

REASSESSMENT OF DISCHARGE PLANNING PROCESS

SPECIAL MEDICAL RECORD REQUIREMENTS

EVALUATION INCLUDES INVENTORY OF ASSETS

PLAN BASED ON INVENTORY OF STRENGTHS/DISABILITIES

PLAN INCLUDES SHORT TERM/LONG RANGE GOALS

TREATMENT DOCUMENTED TO ASSURE ACTIVE THERAPEUTIC EFFORTS

Deficiencies cited in this report:

No Description Available

No Description Available

LIFE SAFETY CODE STANDARD

LIFE SAFETY CODE STANDARD

Deficiencies cited in this report:

CONTRACTED SERVICES

PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION

PATIENT RIGHTS: INFORMED DECISION

PATIENT RIGHTS: CARE IN SAFE SETTING

No Description Available

No Description Available

No Description Available

No Description Available

RN SUPERVISION OF NURSING CARE

No Description Available

FORM AND RETENTION OF RECORDS

MEDICAL RECORD SERVICES

CONTENT OF RECORD: DISCHARGE SUMMARY

PHARMACIST RESPONSIBILITIES

UNUSABLE DRUGS NOT USED

SCOPE OF RADIOLOGIC SERVICES

DIRECTOR OF DIETARY SERVICES

FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE

INFECTION CONTROL PROFESSIONAL

INFECTION CONTROL PROGRAM

ORGANIZATION OF RESPIRATORY CARE SERVICES

INDIVIDUAL COMPREHENSIVE TREATMENT PLAN

PROGRESS NOTES CONTAIN ASSESSMENT OF PROGRESS