| Dec 12, 2023 | 4 | 0 | 0 | 4 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION RN SUPERVISION OF NURSING CARE |
| Jul 25, 2023 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: RESPIRATORY CARE SERVICES ORDERS FOR RESPIRATORY SERVICES |
Nov 30, 2021 Follow-up to inspection
on 2021-07-23* | 8 | 0 | 0 | 8 | Read full report |
Deficiencies cited in this report: GOVERNING BODY STAFFING AND DELIVERY OF CARE PHARMACY ADMINISTRATION PHARMACIST SUPERVISION OF SERVICES SECURE STORAGE UNUSABLE DRUGS NOT USED INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROGRAM |
| Nov 30, 2021 | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS:PARTICIPATION IN CARE PLANNING RN SUPERVISION OF NURSING CARE NURSING CARE PLAN |
| Jul 23, 2021 | 25 | 0 | 0 | 25 | Read full report |
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS: NOTICE OF RIGHTS PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: CARE IN SAFE SETTING MEDICAL STAFF MEDICAL STAFF CREDENTIALING NURSING SERVICES STAFFING AND DELIVERY OF CARE RN SUPERVISION OF NURSING CARE NURSING CARE PLAN ADMINISTRATION OF DRUGS BLOOD TRANSFUSIONS AND IV MEDICATIONS SELF-ADMINISTRATION - DRUGS FROM HOME CONTENT OF RECORD: ORDERS DATED & SIGNED PHARMACY ADMINISTRATION PHARMACIST SUPERVISION OF SERVICES SECURE STORAGE UNUSABLE DRUGS NOT USED FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROGRAM ANTIBIOTIC STEWARDSHIP PROGRAM SURGICAL SERVICES SURGICAL PRIVILEGES OPERATING ROOM REGISTER |
Jul 14, 2021 Follow-up to inspection
on 2019-08-08* | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING |
| Jul 8, 2021 | 0 | 6 | 0 | 6 | Read full report |
Deficiencies cited in this report: Illumination of Means of Egress Hazardous Areas - Enclosure Fire Alarm - Control Functions Sprinkler System - Maintenance and Testing HVAC Health Care Facilities Code - Other |
Jun 1, 2021 Follow-up to inspection
on 2021-04-06* | 6 | 0 | 0 | 6 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS USE OF RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION |
| Apr 6, 2021 | 6 | 0 | 0 | 6 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS USE OF RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION |
| Feb 19, 2020 | 5 | 0 | 0 | 5 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT SURGICAL SERVICES Recording Progress Notes |
| Nov 22, 2019 | 32 | 0 | 0 | 32 | Read full report |
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS PATIENT RIGHTS: NOTICE OF RIGHTS PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: PERSONAL PRIVACY PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION QAPI GOVERNING BODY, STANDARD TAG PATIENT CARE ASSIGNMENTS ADMINISTRATION OF DRUGS STANDING ORDERS FOR DRUGS VERBAL ORDERS FOR DRUGS ORDERS FOR DRUGS AND BIOLOGICALS CONTENT OF RECORD: UPDATED HISTORY & PHYSICAL CONTENT OF RECORD: INFORMED CONSENT Condition of Participation: Pharmaceutical Se PHARMACY ADMINISTRATION PHARMACY DRUG RECORDS DELIVERY OF DRUGS SECURE STORAGE SAFETY POLICY AND PROCEDURES LABORATORY SERVICES POTENTIALLY INFECTIOUS BLOOD/BLOOD PRODUCTS MAINTENANCE OF PHYSICAL PLANT FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROGRAM SURGICAL SERVICES INFORMED CONSENT DELIVERY OF ANESTHESIA SERVICES |
| Nov 21, 2019 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: PERSONAL PRIVACY |
Nov 18, 2019 Follow-up to inspection
on 2019-08-08* | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING |
| Oct 9, 2019 | 0 | 6 | 0 | 6 | Read full report |
Deficiencies cited in this report: General Requirements - Other Means of Egress Requirements - Other Protection - Other Electrical Systems - Other Electrical Systems - Essential Electric Syste Features of Fire Protection - Other |
Oct 2, 2019 Follow-up to inspection
on 2019-08-08* | 4 | 0 | 0 | 4 | Read full report |
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION PATIENT RIGHTS: CARE IN SAFE SETTING |
| Aug 8, 2019 | 4 | 0 | 0 | 4 | Read full report |
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION PATIENT RIGHTS: CARE IN SAFE SETTING |
| Oct 26, 2018 | 14 | 0 | 0 | 14 | Read full report |
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: CARE IN SAFE SETTING MEDICAL STAFF CREDENTIALING NURSING SERVICES STAFFING AND DELIVERY OF CARE RN SUPERVISION OF NURSING CARE ADMINISTRATION OF DRUGS DELIVERY OF DRUGS FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROGRAM ORGANIZATION OF RESPIRATORY CARE SERVICES |
| Aug 31, 2016 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: PERSONAL PRIVACY |
Jul 13, 2016 Follow-up to inspection
on 2016-05-18* | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: ORDERS FOR DRUGS AND BIOLOGICALS |
| Jun 10, 2016 | 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 |
| May 18, 2016 | 19 | 0 | 0 | 19 | Read full report |
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS PATIENT RIGHTS: GRIEVANCE REVIEW TIME FRAMES PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: CARE IN SAFE SETTING NURSING SERVICES ORGANIZATION OF NURSING SERVICES LICENSURE OF NURSING STAFF RN SUPERVISION OF NURSING CARE ADMINISTRATION OF DRUGS ORDERS FOR DRUGS AND BIOLOGICALS MEDICAL RECORD SERVICES CONTENT OF RECORD: UPDATED HISTORY & PHYSICAL PHARMACIST SUPERVISION OF SERVICES FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROGRAM SURGICAL SERVICES |
May 17, 2016 Follow-up to inspection
on 2016-04-06* | 12 | 0 | 0 | 12 | Read full report |
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS PATIENT RIGHTS: GRIEVANCE REVIEW TIME FRAMES PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: CARE IN SAFE SETTING NURSING SERVICES ORGANIZATION OF NURSING SERVICES LICENSURE OF NURSING STAFF RN SUPERVISION OF NURSING CARE ADMINISTRATION OF DRUGS ORDERS FOR DRUGS AND BIOLOGICALS |
| Apr 6, 2016 | 6 | 0 | 0 | 6 | Read full report |
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS USE OF RESTRAINT OR SECLUSION NURSING SERVICES STAFFING AND DELIVERY OF CARE RN SUPERVISION OF NURSING CARE |
| Feb 23, 2016 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING |
| Sep 22, 2015 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE |
| Apr 17, 2013 | 7 | 0 | 0 | 7 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: GRIEVANCES PATIENT RIGHTS:PARTICIPATION IN CARE PLANNING PATIENT RIGHTS: PERSONAL PRIVACY NURSING CARE PLAN ORDERS FOR DRUGS AND BIOLOGICALS FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM |
| Mar 27, 2013 | 0 | 12 | 0 | 12 | 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 No Description Available No Description Available No Description Available Means of Egress - General |
| Jan 4, 2013 | 8 | 0 | 0 | 8 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS 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 MEDICAL RECORD SERVICES CONTENT OF RECORD: INFORMED CONSENT |
| Sep 5, 2012 | 5 | 0 | 0 | 5 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING RN SUPERVISION OF NURSING CARE NURSING CARE PLAN CONTENT OF RECORD: DISCHARGE SUMMARY HISTORY AND PHYSICAL |
| Feb 21, 2012 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE |
| Nov 9, 2011 | 13 | 0 | 0 | 13 | Read full report |
Deficiencies cited in this report: QAPI No Description Available No Description Available No Description Available RN SUPERVISION OF NURSING CARE SECURE STORAGE DIRECTOR OF DIETARY SERVICES INFECTION PREVENTION CONTROL ABX STEWARDSHIP No Description Available OUTPATIENT SERVICES INTEGRATION OF OUTPATIENT SERVICES OUTPATIENT SERVICES PERSONNEL REHABILITATION SERVICES |
| Oct 20, 2011 | 0 | 6 | 0 | 6 | 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 |
| Jun 22, 2011 | 6 | 0 | 0 | 6 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS USE OF RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION |
| Mar 14, 2011 | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: PRIVACY AND SAFETY PATIENT RIGHTS: CARE IN SAFE SETTING USE OF RESTRAINT OR SECLUSION |
| Jan 5, 2011 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION |
| May 20, 2010 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: RECIPIENT HOSPITAL RESPONSIBILITIES |
