| Jan 28, 2025 | 27 | 0 | 0 | 27 | Read full report |
Deficiencies cited in this report: GOVERNING BODY MEDICAL STAFF - ACCOUNTABILITY PATIENT RIGHTS PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: PRIVACY AND SAFETY PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT PATIENT SAFETY ELIGIBILITY & PROCESS FOR APPT TO MED STAFF MEDICAL STAFF PERIODIC APPRAISALS NURSING SERVICES RN SUPERVISION OF NURSING CARE SUPERVISION OF CONTRACT STAFF FORM AND RETENTION OF RECORDS CONTENT OF RECORD: FINAL DIAGNOSIS SECURE STORAGE FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM Special Medical Record Requirements Treatment Plan Treatment Plan - Goals Treatment Plan - Modalities Treatment Plan - Team Responsibilities Document Therapeutic Efforts Recording Progress Notes Discharge Summary - Recommendations Psychological Services |
| Mar 26, 2024 | 8 | 0 | 0 | 8 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION DATA COLLECTION & ANALYSIS QUALITY IMPROVEMENT ACTIVITIES PATIENT SAFETY FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE DISCHARGE PLANNING- TRANSMISSION INFORMATION Treatment Plan |
| Mar 23, 2023 | 6 | 0 | 0 | 6 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION DATA COLLECTION & ANALYSIS RN SUPERVISION OF NURSING CARE ADMINISTRATION OF DRUGS FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE Treatment Plan |
| Mar 31, 2022 | 4 | 0 | 0 | 4 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: NOTICE OF RIGHTS PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION PATIENT RIGHTS:PARTICIPATION IN CARE PLANNING Treatment Plan |
| Jun 24, 2021 | 7 | 0 | 0 | 7 | Read full report |
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT SAFETY NURSING SERVICES RN SUPERVISION OF NURSING CARE DISCHARGE PLANNING - PT RE-EVALUATION |
| Feb 11, 2021 | 6 | 0 | 0 | 6 | Read full report |
Deficiencies cited in this report: CONTRACTED SERVICES PATIENT RIGHTS: NOTICE OF RIGHTS PATIENT SAFETY RN SUPERVISION OF NURSING CARE MEDICAL RECORD SERVICES INFECTION CONTROL PROGRAM |
| Jun 12, 2020 | 10 | 0 | 0 | 10 | Read full report |
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT QAPI PATIENT SAFETY NURSING SERVICES RN SUPERVISION OF NURSING CARE INFECTION CONTROL PROFESSIONAL IC PROFESSIONAL RESPONSIBILITIES POLICIES |
| Nov 8, 2019 | 6 | 0 | 0 | 6 | Read full report |
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE INDIVIDUAL COMPREHENSIVE TREATMENT PLAN PLAN INCLUDES SHORT TERM/LONG RANGE GOALS PLAN INCLUDES SPECIFIC TREATMENT MODALITIES UTILIZED PLAN INCLUDES RESPONSIBILITIES OF TREATMENT TEAM PROGRESS NOTES CONTAIN ASSESSMENT OF PROGRESS |
| Sep 19, 2019 | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: GRIEVANCES RN SUPERVISION OF NURSING CARE PHARMACY: REPORTING ADVERSE EVENTS |
| Jan 17, 2019 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE |
| Apr 12, 2018 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE |
| Jan 9, 2018 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: INFECTION CONTROL PROGRAM |
| Jun 22, 2017 | 4 | 0 | 0 | 4 | Read full report |
Deficiencies cited in this report: CONTENT OF RECORD MEDICAL RECORD SERVICES CONTENT OF RECORD: ORDERS DATED & SIGNED FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE |
| Aug 3, 2016 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION RN SUPERVISION OF NURSING CARE |
| May 12, 2016 | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE RN SUPERVISION OF NURSING CARE |
| Oct 22, 2015 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE |
| Jun 18, 2015 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: NOTICE OF RIGHTS MEDICAL STAFF RESPONSIBILITIES - H&P |
| May 31, 2013 | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: INFORMED CONSENT PATIENT VISITATION RIGHTS PATIENT RIGHTS: INFORMED CONSENT |
| Mar 15, 2013 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: NURSING CARE PLAN NURSING CARE PLAN |
| Sep 20, 2012 | 4 | 0 | 0 | 4 | Read full report |
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE COMPETENT DIETARY STAFF COMPETENT DIETARY STAFF RN SUPERVISION OF NURSING CARE |
| Sep 18, 2012 | 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 |
| Aug 2, 2012 | 8 | 0 | 0 | 8 | Read full report |
Deficiencies cited in this report: GOVERNING BODY QAPI PATIENT SAFETY RN SUPERVISION OF NURSING CARE ADMINISTRATION OF DRUGS PATIENT SAFETY RN SUPERVISION OF NURSING CARE ADMINISTRATION OF DRUGS |
| Jan 26, 2012 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION |
| Aug 25, 2011 | 5 | 0 | 0 | 5 | Read full report |
Deficiencies cited in this report: MEDICAL STAFF CREDENTIALING SAFETY FOR PATIENTS AND PERSONNEL RADIOLOGIST RESPONSIBILITIES THERAPEUTIC DIET MANUAL STAFF EDUCATION |
| Aug 23, 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 |
| Jul 7, 2011 | 21 | 0 | 0 | 21 | Read full report |
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION No Description Available NURSING SERVICES RN SUPERVISION OF NURSING CARE No Description Available STANDING ORDERS FOR DRUGS PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION DATA COLLECTION & ANALYSIS RN SUPERVISION OF NURSING CARE ADMINISTRATION OF DRUGS STANDING ORDERS FOR DRUGS PATIENT RIGHTS: INFORMED CONSENT |
| May 4, 2011 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE RN SUPERVISION OF NURSING CARE |
| May 25, 2010 | 15 | 0 | 0 | 15 | Read full report |
Deficiencies cited in this report: GOVERNING BODY STAFFING AND DELIVERY OF CARE RN SUPERVISION OF NURSING CARE No Description Available ACCEPTING VERBAL ORDERS FOR DRUGS FORM AND RETENTION OF RECORDS PHARMACY ADMINISTRATION PHYSICAL ENVIRONMENT MAINTENANCE OF PHYSICAL PLANT EMERGENCY POWER AND LIGHTING LIFE SAFETY FROM FIRE FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM COMPLETE NEUROLOGICAL EXAM RECORDED AT TIME OF ADMISSION THERAPEUTIC ACTIVITIES |
| Apr 29, 2010 | 15 | 0 | 0 | 15 | Read full report |
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT QAPI No Description Available No Description Available NURSING SERVICES ORGANIZATION OF NURSING SERVICES STAFFING AND DELIVERY OF CARE RN SUPERVISION OF NURSING CARE SUPERVISION OF CONTRACT STAFF PHYSICAL ENVIRONMENT MAINTENANCE OF PHYSICAL PLANT LIFE SAFETY FROM FIRE |
