Aug 12, 2024 Follow-up to inspection
on 2024-03-21* | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: OPERATING ROOM REGISTER |
| Mar 21, 2024 | 21 | 0 | 0 | 21 | Read full report |
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: CARE IN SAFE SETTING QAPI DATA COLLECTION & ANALYSIS QUALITY IMPROVEMENT ACTIVITIES QAPI GOVERNING BODY, STANDARD TAG NURSING SERVICES ORGANIZATION OF NURSING SERVICES STAFFING AND DELIVERY OF CARE BLOOD TRANSFUSIONS AND IV MEDICATIONS MEDICAL RECORD SERVICES SECURE STORAGE INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROGRAM INFECTION CONTROL SURVEILLANCE, PREVENTION IC PROFESSIONAL RESPONSIBILITIES POLICIES SURGICAL SERVICES RESPIRATORY CARE SERVICES POLICIES POSTING OF SIGNS |
| Feb 13, 2024 | 0 | 9 | 0 | 9 | Read full report |
Deficiencies cited in this report: Gas and Vacuum Piped Systems - Other Gas and Vacuum Piped Systems - Categories Gas and Vacuum Piped Systems - Maintenance Pr Electrical Systems - Other Electrical Systems - Maintenance and Testing Electrical Systems - Essential Electric Syste Electrical Systems - Essential Electric Syste Electrical Equipment - Testing and Maintenanc Gas Equipment - Testing and Maintenance Requi |
| Nov 20, 2023 | 5 | 0 | 0 | 5 | Read full report |
Deficiencies cited in this report: LICENSURE OF PERSONNEL INFECTION CONTROL SURVEILLANCE, PREVENTION MEDICAL SCREENING EXAM STABILIZING TREATMENT APPROPRIATE TRANSFER |
| Oct 19, 2023 | 4 | 0 | 0 | 4 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING NURSING SERVICES STAFFING AND DELIVERY OF CARE |
| Jan 18, 2023 | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: STAFFING AND DELIVERY OF CARE INFECTION CONTROL PROGRAM INFECTION CONTROL SURVEILLANCE, PREVENTION |
| Dec 7, 2020 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: INFECTION CONTROL SURVEILLANCE, PREVENTION |
| Oct 4, 2019 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING |
| Mar 21, 2019 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS:PARTICIPATION IN CARE PLANNING NURSING CARE PLAN |
| Jun 6, 2018 | 5 | 0 | 0 | 5 | Read full report |
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION INFECTION PREVENTION CONTROL ABX STEWARDSHIP |
Apr 5, 2017 Follow-up to inspection
on 2017-01-31* | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: CHIEF EXECUTIVE OFFICER |
| Apr 5, 2017 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: GRIEVANCES RN SUPERVISION OF NURSING CARE |
Apr 3, 2017 Follow-up to inspection
on 2016-11-08* | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: ADMISSION STATUS NOTIFICATION QAPI EXECUTIVE RESPONSIBILITIES |
| Jan 31, 2017 | 20 | 0 | 0 | 20 | Read full report |
Deficiencies cited in this report: GOVERNING BODY MEDICAL STAFF - BYLAWS AND RULES PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING QAPI DATA COLLECTION & ANALYSIS NURSING SERVICES ORGANIZATION OF NURSING SERVICES NURSING CARE PLAN ADMINISTRATION OF DRUGS ORDERS FOR DRUGS AND BIOLOGICALS MEDICAL RECORD SERVICES ORGANIZATION AND STAFFING PROTECTING PATIENT RECORDS MEDICAL RECORD SERVICES CONTENT OF RECORD: INFORMED CONSENT EXTENDED STAY REVIEW FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM RESPIRATORY CARE SERVICES POLICIES |
| Jan 26, 2017 | 0 | 8 | 0 | 8 | Read full report |
Deficiencies cited in this report: Interior Wall and Ceiling Finish Portable Fire Extinguishers Subdivision of Building Spaces - Smoke Barrie Gas and Vacuum Piped Systems - Other Electrical Systems - Other Electrical Systems - Other Electrical Systems - Maintenance and Testing Gas Equipment - Cylinder and Container Storag |
Jan 24, 2017 Follow-up to inspection
on 2016-11-08* | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: NURSING CARE PLAN ADMINISTRATION OF DRUGS ORDERS FOR DRUGS AND BIOLOGICALS |
Dec 21, 2016 Follow-up to inspection
on 2016-11-08* | 6 | 0 | 0 | 6 | Read full report |
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION NURSING SERVICES RN SUPERVISION OF NURSING CARE |
| Nov 8, 2016 | 6 | 0 | 0 | 6 | Read full report |
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION NURSING SERVICES RN SUPERVISION OF NURSING CARE |
| Oct 15, 2015 | 4 | 0 | 0 | 4 | Read full report |
Deficiencies cited in this report: MEDICAL STAFF - ACCOUNTABILITY PATIENT RIGHTS: CARE IN SAFE SETTING CONTENT OF RECORD: CONSULTATIVE RECORDS CONTENT OF RECORD: COMPLICATIONS |
| Jul 22, 2015 | 5 | 0 | 0 | 5 | Read full report |
Deficiencies cited in this report: Standard-level Tag for Pharmaceutical Service DELIVERY OF DRUGS PHARMACIST SUPERVISION OF SERVICES EMERGENCY SERVICES INTEGRATION OF EMERGENCY SERVICES |
Mar 18, 2015 Follow-up to inspection
on 2015-01-22* | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: NURSING SERVICES ORGANIZATION OF NURSING SERVICES INFECTION PREVENTION CONTROL ABX STEWARDSHIP |
| Jan 22, 2015 | 13 | 0 | 0 | 13 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION NURSING SERVICES RN SUPERVISION OF NURSING CARE PATIENT CARE ASSIGNMENTS MEDICATION SELF-ADMINISTRATION SELF-ADMINISTRATION - DRUGS FROM HOME DELIVERY OF DRUGS SECURE STORAGE MAINTENANCE OF PHYSICAL PLANT INFECTION PREVENTION CONTROL ABX STEWARDSHIP |
Jan 22, 2015 Follow-up to inspection
on 2014-11-06* | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: INFORMED CONSENT |
| Jan 15, 2015 | 0 | 2 | 0 | 2 | Read full report |
Deficiencies cited in this report: No Description Available LIFE SAFETY CODE STANDARD |
| Nov 6, 2014 | 10 | 0 | 0 | 10 | Read full report |
Deficiencies cited in this report: LICENSURE OF PERSONNEL GOVERNING BODY MEDICAL STAFF - ACCOUNTABILITY PATIENT RIGHTS: NOTICE OF RIGHTS PATIENT RIGHTS: GRIEVANCES PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION PATIENT RIGHTS: INFORMED CONSENT MEDICAL STAFF ORGANIZATION & ACCOUNTABILITY PATIENT CARE ASSIGNMENTS HISTORY AND PHYSICAL |
| Jan 15, 2013 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: STABILIZING TREATMENT APPROPRIATE TRANSFER |
| Sep 29, 2011 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: INFECTION CONTROL PROGRAM INFECTION CONTROL SURVEILLANCE, PREVENTION |
| Aug 24, 2011 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: REVIEW OF GRIEVANCES |
| May 17, 2011 | 5 | 0 | 0 | 5 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: NOTICE OF RIGHTS PATIENT RIGHTS: GRIEVANCE REVIEW TIME FRAMES PATIENT RIGHTS: CARE IN SAFE SETTING STAFFING AND DELIVERY OF CARE DISCHARGE PLANNING EVALUATION |
