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ONE HOSPITAL DRIVE COLUMBIA, MO 65212 | Government - State

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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
Nov 5, 2024	12	0	0	12	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT PATIENT RIGHTS: CONFIDENTIALITY OF RECORDS PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION NURSING SERVICES RN SUPERVISION OF NURSING CARE ADMINISTRATION OF DRUGS BLOOD TRANSFUSIONS AND IV MEDICATIONS INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROGRAM
Sep 24, 2024	4	0	0	4	Read full report
Deficiencies cited in this report: COMPLIANCE WITH 489.24 POSTING OF SIGNS EMERGENCY ROOM LOG STABILIZING TREATMENT
Jun 13, 2024	10	0	0	10	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION NURSING SERVICES RN SUPERVISION OF NURSING CARE
Feb 1, 2024	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING
Apr 12, 2023	3	0	0	3	Read full report
Deficiencies cited in this report: COMPLIANCE WITH 489.24 EMERGENCY ROOM LOG MEDICAL SCREENING EXAM
Sep 24, 2020	9	0	0	9	Read full report
Deficiencies cited in this report: GOVERNING BODY CHIEF EXECUTIVE OFFICER PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING USE OF RESTRAINT OR SECLUSION RN SUPERVISION OF NURSING CARE DISCHARGE PLANNING DISCHARGE PLANNING - PT RE-EVALUATION DISCHARGE PLANNING EVALUATION
May 2, 2019	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING
Oct 18, 2018	2	0	0	2	Read full report
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE NURSING CARE PLAN
Feb 22, 2018	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING
Jan 12, 2018	12	0	0	12	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: RESTRAINT OR SECLUSION NURSING SERVICES RN SUPERVISION OF NURSING CARE NURSING CARE PLAN MEDICAL RECORD SERVICES CONTENT OF RECORD: INFORMED CONSENT CONTENT OF RECORD: ORDERS,NOTES,REPORTS SECURE STORAGE FOOD AND DIETETIC SERVICES DIRECTOR OF DIETARY SERVICES INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROGRAM
Jan 5, 2018	0	12	0	12	Read full report
Deficiencies cited in this report: Means of Egress - General Egress Doors Illumination of Means of Egress Emergency Lighting Hazardous Areas - Enclosure Cooking Facilities Smoke Detection Sprinkler System - Supervisory Signals Sprinkler System - Maintenance and Testing Fundamentals - Building System Categories Electrical Equipment - Power Cords and Extens Features of Fire Protection - Fire Loss Preve
Apr 6, 2017	4	0	0	4	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: NOTICE OF RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT
Feb 10, 2017	3	0	0	3	Read full report
Deficiencies cited in this report: COMPLIANCE WITH 489.24 MEDICAL SCREENING EXAM STABILIZING TREATMENT
Aug 6, 2015	3	0	0	3	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: RESTRAINT OR SECLUSION INFECTION CONTROL PROGRAM INFECTION CONTROL PROGRAM
Mar 6, 2014	2	0	0	2	Read full report
Deficiencies cited in this report: NURSING CARE PLAN NURSING CARE PLAN
Jun 28, 2012	4	0	0	4	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: INTERNAL DEATH REPORTING LOG PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION
Jan 25, 2011	0	4	0	4	Read full report
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available
Jan 25, 2011	16	0	0	16	Read full report
Deficiencies cited in this report: LICENSURE OF PERSONNEL PATIENT RIGHTS PATIENT RIGHTS: NOTICE OF RIGHTS PATIENT RIGHTS: PERSONAL PRIVACY PATIENT RIGHTS: CARE IN SAFE SETTING USE OF RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION No Description Available MAINTENANCE OF PHYSICAL PLANT INFECTION CONTROL PROGRAM INFECTION CONTROL PROGRAM PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: PERSONAL PRIVACY DATA COLLECTION & ANALYSIS PATIENT SAFETY
Nov 5, 2010	5	0	0	5	Read full report
Deficiencies cited in this report: PHYSICAL ENVIRONMENT MAINTENANCE OF PHYSICAL PLANT FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROGRAM
Apr 21, 2010	4	0	0	4	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: PERSONAL PRIVACY DELIVERY OF DRUGS SECURE STORAGE FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE

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