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3080 COLLEGE STREET BEAUMONT, TX 77701 | Voluntary non-profit - Private

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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
Sep 24, 2024 Follow-up to inspection on 2024-05-15*	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: INFORMED CONSENT BLOOD TRANSFUSIONS AND IV MEDICATIONS
Jul 18, 2024	2	0	0	2	Read full report
Deficiencies cited in this report: NURSING SERVICES RN SUPERVISION OF NURSING CARE
May 15, 2024	2	0	0	2	Read full report
Deficiencies cited in this report: NURSING SERVICES STAFFING AND DELIVERY OF CARE
Nov 30, 2023	1	0	0	1	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: INFORMED CONSENT
Aug 16, 2022	2	0	0	2	Read full report
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE INFECTION CONTROL PROGRAM
Oct 7, 2021	1	0	0	1	Read full report
Deficiencies cited in this report: MEDICAL RECORD SERVICES
Jan 26, 2021	1	0	0	1	Read full report
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE
Jan 16, 2020	1	0	0	1	Read full report
Deficiencies cited in this report: INFECTION CONTROL PROGRAM
Jul 29, 2016	3	0	0	3	Read full report
Deficiencies cited in this report: PATIENT RIGHTS:PARTICIPATION IN CARE PLANNING FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM
Jun 29, 2016	2	0	0	2	Read full report
Deficiencies cited in this report: APPROPRIATE TRANSFER RECIPIENT HOSPITAL RESPONSIBILITIES
Nov 18, 2015	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 LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD
Nov 11, 2015	8	0	0	8	Read full report
Deficiencies cited in this report: PATIENT RIGHTS:PARTICIPATION IN CARE PLANNING PATIENT RIGHTS: CARE IN SAFE SETTING STAFFING AND DELIVERY OF CARE PHARMACIST SUPERVISION OF SERVICES SECURE STORAGE FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM ORGANIZATION AND DIRECTION
Sep 18, 2015	3	0	0	3	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: GRIEVANCES PATIENT RIGHTS: GRIEVANCE PROCEDURES NURSING CARE PLAN
Mar 28, 2014	5	0	0	5	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING QAPI PATIENT SAFETY QAPI EXECUTIVE RESPONSIBILITIES
Feb 26, 2014 Follow-up to inspection on 2013-12-19*	9	0	0	9	Read full report
Deficiencies cited in this report: MEDICAL STAFF RESPONSIBILITIES - H&P MEDICAL STAFF RESPONSIBILITIES - UPDATE RN SUPERVISION OF NURSING CARE MEDICAL RECORD SERVICES CONTENT OF RECORD: HISTORY & PHYSICAL CONTENT OF RECORD: UPDATED HISTORY & PHYSICAL INFECTION CONTROL PROGRAM SURGICAL SERVICES HISTORY AND PHYSICAL
Jan 16, 2014	2	0	0	2	Read full report
Deficiencies cited in this report: NURSING SERVICES STAFFING AND DELIVERY OF CARE
Jan 16, 2014 Follow-up to inspection on 2013-12-19*	14	0	0	14	Read full report
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING QAPI NURSING SERVICES NURSING CARE PLAN VERBAL ORDERS FOR DRUGS ORDERS FOR DRUGS AND BIOLOGICALS FOOD AND DIETETIC SERVICES INFECTION PREVENTION CONTROL ABX STEWARDSHIP SURGICAL SERVICES HISTORY AND PHYSICAL INTRAOPERATIVE ANESTHESIA RECORD POST-ANESTHESIA EVALUATION
Dec 19, 2013	1	0	0	1	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: REVIEW OF GRIEVANCES
Dec 19, 2013	14	0	0	14	Read full report
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING QAPI NURSING SERVICES NURSING CARE PLAN VERBAL ORDERS FOR DRUGS ORDERS FOR DRUGS AND BIOLOGICALS FOOD AND DIETETIC SERVICES INFECTION PREVENTION CONTROL ABX STEWARDSHIP SURGICAL SERVICES HISTORY AND PHYSICAL INTRAOPERATIVE ANESTHESIA RECORD POST-ANESTHESIA EVALUATION
Dec 19, 2013 Follow-up to inspection on 2013-10-23*	6	0	0	6	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING NURSING SERVICES NURSING CARE PLAN VERBAL ORDERS FOR DRUGS ORDERS FOR DRUGS AND BIOLOGICALS
Oct 23, 2013	5	0	0	5	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING NURSING SERVICES STAFFING AND DELIVERY OF CARE RN SUPERVISION OF NURSING CARE
May 21, 2013 Follow-up to inspection on 2012-10-25*	6	0	0	6	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: CARE IN SAFE SETTING STAFFING AND DELIVERY OF CARE ADMINISTRATION OF DRUGS CONTENT OF RECORD
Feb 28, 2013	1	0	0	1	Read full report
Deficiencies cited in this report: MEDICAL SCREENING EXAM
Feb 27, 2013	11	0	0	11	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: NOTICE OF RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION QAPI GOVERNING BODY, STANDARD TAG ORDERS FOR DRUGS AND BIOLOGICALS FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROFESSIONAL DISCHARGE PLANNING- PAC FINANCIAL DISCLOSURE REASSESSMENT OF A DISCHARGE PLAN
Feb 6, 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 LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD LIFE SAFETY CODE STANDARD
Oct 25, 2012	6	0	0	6	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: CARE IN SAFE SETTING STAFFING AND DELIVERY OF CARE ADMINISTRATION OF DRUGS CONTENT OF RECORD
Oct 28, 2011	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING No Description Available
May 24, 2011	5	0	0	5	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: NOTICE OF RIGHTS PATIENT RIGHTS:PARTICIPATION IN CARE PLANNING REASSESSMENT OF A DISCHARGE PLAN No Description Available REASSESSMENT OF DISCHARGE PLANNING PROCESS

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.

HospitalInspections.org

BAPTIST BEAUMONT HOSPITAL

Complete reports and deficiency counts