Jan 25, 2024 Follow-up to inspection
on 2023-12-11* | 0 | 1 | 0 | 1 | Read full report |
Deficiencies cited in this report: Fire Alarm System - Installation |
Jan 25, 2024 Follow-up to inspection
on 2023-12-12* | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: INFECTION CONTROL SURVEILLANCE, PREVENTION |
| Dec 12, 2023 | 18 | 0 | 0 | 18 | Read full report |
Deficiencies cited in this report: CONTRACTED SERVICES PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT PATIENT RIGHTS: RESTRAINT OR SECLUSION NURSING CARE PLAN ADMINISTRATION OF DRUGS UNUSABLE DRUGS NOT USED UTILIZATION REVIEW APPLICABILITY UTILIZATION REVIEW COMMITTEE SCOPE AND FREQUENCY OF REVIEW FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROGRAM INFECTION CONTROL SURVEILLANCE, PREVENTION LEADERSHIP RESPONSIBILITIES OPO AGREEMENT SURGICAL SERVICES OPERATING ROOM POLICIES |
| Dec 11, 2023 | 0 | 5 | 0 | 5 | Read full report |
Deficiencies cited in this report: Cooking Facilities Fire Alarm System - Installation Evacuation and Relocation Plan Draperies, Curtains, and Loosely Hanging Fabr Maintenance, Inspection and Testing - Doors |
| Jun 22, 2023 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: FOOD AND DIETETIC SERVICES DIRECTOR OF DIETARY SERVICES |
| Apr 14, 2022 | 7 | 0 | 0 | 7 | Read full report |
Deficiencies cited in this report: PHYSICAL ENVIRONMENT EMERGENCY GAS AND WATER LIFE SAFETY FROM FIRE FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROGRAM COVID-19 Vaccination of Facility Staff |
Jul 24, 2019 Follow-up to inspection
on 2019-04-25* | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: NURSING SERVICES RN SUPERVISION OF NURSING CARE QUALIFIED STAFF |
Jun 11, 2019 Follow-up to inspection
on 2019-04-25* | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: NURSING SERVICES RN SUPERVISION OF NURSING CARE |
| Apr 25, 2019 | 15 | 0 | 0 | 15 | Read full report |
Deficiencies cited in this report: CONTRACTED SERVICES PATIENT RIGHTS: NOTICE OF RIGHTS PATIENT RIGHTS: PERSONAL PRIVACY MEDICAL STAFF PERIODIC APPRAISALS NURSING SERVICES RN SUPERVISION OF NURSING CARE NURSING CARE PLAN CONTENT OF RECORD: ORDERS DATED & SIGNED SECURE STORAGE SAFETY FOR PATIENTS AND PERSONNEL PHYSICAL ENVIRONMENT MAINTENANCE OF PHYSICAL PLANT FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROGRAM |
| Apr 22, 2019 | 0 | 20 | 0 | 20 | Read full report |
Deficiencies cited in this report: Means of Egress - General Illumination of Means of Egress Emergency Lighting Exit Signage Hazardous Areas - Enclosure Cooking Facilities Fire Alarm System - Installation Fire Alarm System - Initiation Fire Alarm - Control Functions Smoke Detection Sprinkler System - Maintenance and Testing Corridors - Construction of Walls Corridor - Doors Subdivision of Building Spaces - Smoke Barrie HVAC Draperies, Curtains, and Loosely Hanging Fabr Gas and Vacuum Piped Systems - Maintenance Pr Electrical Systems - Essential Electric Syste Electrical Systems - Essential Electric Syste Electrical Equipment - Power Cords and Extens |
| Jul 18, 2018 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING |
| Sep 15, 2015 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: WRITTEN PROTOCOL FOR TISSUE SPECIMENS |
Dec 16, 2014 Follow-up to inspection
on 2014-09-18* | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: QAPI GOVERNING BODY, STANDARD TAG |
| Sep 18, 2014 | 22 | 0 | 0 | 22 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: NOTICE OF RIGHTS PATIENT RIGHTS: REVIEW OF GRIEVANCES QAPI GOVERNING BODY, STANDARD TAG MEDICAL STAFF PERIODIC APPRAISALS MEDICAL STAFF CREDENTIALING ORGANIZATION OF NURSING SERVICES RN/LPN STAFFING LICENSURE OF NURSING STAFF RN SUPERVISION OF NURSING CARE NURSING CARE PLAN ADMINISTRATION OF DRUGS REPORTING ABUSES/LOSSES OF DRUGS FOOD AND DIETETIC SERVICES DIRECTOR OF DIETARY SERVICES QUALIFIED DIETITIAN No Description Available THERAPEUTIC DIET MANUAL PHYSICAL ENVIRONMENT MAINTENANCE OF PHYSICAL PLANT LIFE SAFETY FROM FIRE FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM |
| Sep 16, 2014 | 0 | 9 | 0 | 9 | 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 Building Construction Type and Height |
Dec 8, 2010 Follow-up to inspection
on 2010-09-16* | 8 | 0 | 0 | 8 | Read full report |
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE ADMINISTRATION OF DRUGS CONTENT OF RECORD: STANDING ORDERS PHARMACY ADMINISTRATION SECURE STORAGE UNUSABLE DRUGS NOT USED FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM |
| Sep 16, 2010 | 34 | 0 | 0 | 34 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: INFORMED DECISION PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: CONFIDENTIALITY OF RECORDS PATIENT RIGHTS: RESTRAINT OR SECLUSION QAPI No Description Available DATA COLLECTION & ANALYSIS No Description Available QAPI EXECUTIVE RESPONSIBILITIES MEDICAL STAFF PRIVILEGING ADMINISTRATION OF DRUGS STANDING ORDERS FOR DRUGS FORM AND RETENTION OF RECORDS CONTENT OF RECORD: STANDING ORDERS CONTENT OF RECORD: HISTORY & PHYSICAL CONTENT OF RECORD: DISCHARGE SUMMARY PHARMACY ADMINISTRATION DELIVERY OF DRUGS PHARMACIST SUPERVISION OF SERVICES SECURE STORAGE UNUSABLE DRUGS NOT USED PHARMACY: REPORTING ADVERSE EVENTS ORGANIZATION DIRECTOR OF DIETARY SERVICES QUALIFIED DIETITIAN MAINTENANCE OF PHYSICAL PLANT INFECTION CONTROL PROGRAM INFECTION CONTROL SURVEILLANCE, PREVENTION No Description Available OPO AGREEMENT INFORMED CONSENT POST-ANESTHESIA EVALUATION No Description Available |
| Sep 16, 2010 | 0 | 5 | 0 | 5 | Read full report |
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available No Description Available |
| Apr 6, 2010 | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: INFORMED DECISION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION |
| Feb 17, 2010 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: CONTENT OF RECORD: ORDERS DATED & SIGNED |
