HospitalInspections.org

Deficiencies cited in this report:

PHYSICAL ENVIRONMENT

Deficiencies cited in this report:

MEDICAL STAFF CREDENTIALING

Deficiencies cited in this report:

PATIENT RIGHTS

PATIENT RIGHTS: CARE IN SAFE SETTING

NURSING SERVICES

RN SUPERVISION OF NURSING CARE

Deficiencies cited in this report:

PATIENT RIGHTS: GRIEVANCES

PATIENT RIGHTS: CARE IN SAFE SETTING

Deficiencies cited in this report:

PATIENT RIGHTS

PATIENT RIGHTS: CARE IN SAFE SETTING

RN SUPERVISION OF NURSING CARE

Deficiencies cited in this report:

PATIENT RIGHTS: CARE IN SAFE SETTING

SUPERVISION OF CONTRACT STAFF

Deficiencies cited in this report:

PATIENT RIGHTS

PATIENT RIGHTS: CARE IN SAFE SETTING

Deficiencies cited in this report:

PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION

Deficiencies cited in this report:

SUPERVISION OF CONTRACT STAFF

Social Service Records

Treatment Plan

Deficiencies cited in this report:

CARE OF PATIENTS

PATIENT RIGHTS: GRIEVANCES

PATIENT RIGHTS: INFORMED CONSENT

PATIENT RIGHTS: CARE IN SAFE SETTING

QAPI PERFORMANCE IMPROVEMENT PROJECTS

MEDICAL STAFF CREDENTIALING

STAFFING AND DELIVERY OF CARE

PATIENT CARE ASSIGNMENTS

SUPERVISION OF CONTRACT STAFF

DISCHARGE PLANNING

DISCHARGE PLANNING - PT RE-EVALUATION

DISCHARGE PLANNING TIMELY EVALUATION

DISCHARGE PLANNING- TRANSMISSION INFORMATION

Deficiencies cited in this report:

PATIENT RIGHTS

PATIENT RIGHTS: GRIEVANCES

PATIENT RIGHTS: CARE IN SAFE SETTING

PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT

NURSING SERVICES

RN SUPERVISION OF NURSING CARE

SUPERVISION OF CONTRACT STAFF

Deficiencies cited in this report:

PATIENT RIGHTS

PATIENT RIGHTS: CARE IN SAFE SETTING

PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT

USE OF RESTRAINT OR SECLUSION

NURSING SERVICES

STAFFING AND DELIVERY OF CARE

PATIENT CARE ASSIGNMENTS

SUPERVISION OF CONTRACT STAFF

Deficiencies cited in this report:

GOVERNING BODY

CARE OF PATIENTS

EMERGENCY SERVICES

PATIENT RIGHTS

PATIENT RIGHTS: GRIEVANCES

PATIENT RIGHTS: CARE IN SAFE SETTING

PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT

MEDICAL STAFF

NURSING SERVICES

STAFFING AND DELIVERY OF CARE

RN SUPERVISION OF NURSING CARE

SUPERVISION OF CONTRACT STAFF

Deficiencies cited in this report:

SUPERVISION OF CONTRACT STAFF

Deficiencies cited in this report:

GOVERNING BODY

CARE OF PATIENTS - RESPONSIBILITY FOR CARE

PATIENT RIGHTS

PATIENT RIGHTS: CARE IN SAFE SETTING

STAFFING AND DELIVERY OF CARE

CONTENT OF RECORD: ORDERS,NOTES,REPORTS

MAINTENANCE OF PHYSICAL PLANT

INFECTION CONTROL SURVEILLANCE, PREVENTION

IC PROFESSIONAL TRAINING

Deficiencies cited in this report:

PATIENT RIGHTS: CARE IN SAFE SETTING

DISCHARGE PLANNING EVALUATION

Deficiencies cited in this report:

PATIENT RIGHTS: CARE IN SAFE SETTING

Deficiencies cited in this report:

PATIENT RIGHTS: RESTRAINT OR SECLUSION

Deficiencies cited in this report:

PATIENT RIGHTS: GRIEVANCES

STAFFING AND DELIVERY OF CARE

Deficiencies cited in this report:

PATIENT CARE ASSIGNMENTS

Deficiencies cited in this report:

PATIENT RIGHTS

PATIENT RIGHTS: CARE IN SAFE SETTING

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

STAFFING AND DELIVERY OF CARE

RN SUPERVISION OF NURSING CARE

Deficiencies cited in this report:

PATIENT RIGHTS: RESTRAINT OR SECLUSION

PATIENT RIGHTS: RESTRAINT OR SECLUSION

PATIENT RIGHTS: RESTRAINT OR SECLUSION

Deficiencies cited in this report:

SPECIAL MEDICAL RECORD REQUIREMENTS

SOCIAL SERVICES RECORDS PROVIDE ASSESSMENT OF HOME PLANS

COMPLETE NEUROLOGICAL EXAM RECORDED AT TIME OF ADMISSION

PLAN BASED ON INVENTORY OF STRENGTHS/DISABILITIES

PLAN INCLUDES SUBSTANTIATED DIAGNOSIS

PLAN INCLUDES SHORT TERM/LONG RANGE GOALS

PLAN INCLUDES SPECIFIC TREATMENT MODALITIES UTILIZED

PLAN INCLUDES RESPONSIBILITIES OF TREATMENT TEAM

PLAN INCLUDES ADEQUATE DOCUMENTATION TO JUSTIFY DIAGNOSIS

TREATMENT DOCUMENTED TO ASSURE ACTIVE THERAPEUTIC EFFORTS

MONITOR/EVALUATE QUALITY/APPROPRIATENESS OF SERVICES

PARTICIPATES IN FORMULATION OF TREATMENT PLANS

SOCIAL SERVICES

THERAPEUTIC ACTIVITIES

ADEQUATE STAFF TO PROVIDE THERAPEUTIC ACTIVITIES

Deficiencies cited in this report:

PATIENT RIGHTS: RESTRAINT OR SECLUSION

Deficiencies cited in this report:

PATIENT RIGHTS: RESTRAINT OR SECLUSION

Deficiencies cited in this report:

PATIENT RIGHTS: CARE IN SAFE SETTING

QUALITY IMPROVEMENT ACTIVITIES

RN SUPERVISION OF NURSING CARE

Deficiencies cited in this report:

PATIENT RIGHTS

PATIENT RIGHTS: INFORMED CONSENT

PATIENT RIGHTS: CARE IN SAFE SETTING

PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT

QAPI

QUALITY IMPROVEMENT ACTIVITIES

PATIENT SAFETY

QAPI EXECUTIVE RESPONSIBILITIES

NURSING SERVICES

STAFFING AND DELIVERY OF CARE

RN SUPERVISION OF NURSING CARE

PATIENT CARE ASSIGNMENTS

Deficiencies cited in this report:

PATIENT RIGHTS

PATIENT RIGHTS: GRIEVANCES

PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT

PATIENT RIGHTS: RESTRAINT OR SECLUSION

PATIENT RIGHTS: RESTRAINT OR SECLUSION

PATIENT RIGHTS: RESTRAINT OR SECLUSION

RN SUPERVISION OF NURSING CARE

Deficiencies cited in this report:

PATIENT RIGHTS: RESTRAINT OR SECLUSION

Deficiencies cited in this report:

PATIENT RIGHTS

PATIENT RIGHTS: CARE IN SAFE SETTING

DATA COLLECTION & ANALYSIS

QAPI GOVERNING BODY, STANDARD TAG

STAFFING AND DELIVERY OF CARE

RN SUPERVISION OF NURSING CARE

Deficiencies cited in this report:

CHIEF EXECUTIVE OFFICER

RN SUPERVISION OF NURSING CARE

Deficiencies cited in this report:

PATIENT RIGHTS: CARE IN SAFE SETTING

PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT

Deficiencies cited in this report:

RN SUPERVISION OF NURSING CARE

Deficiencies cited in this report:

PATIENT RIGHTS: REVIEW OF GRIEVANCES

No Description Available

RN SUPERVISION OF NURSING CARE

Deficiencies cited in this report:

PATIENT RIGHTS:PARTICIPATION IN CARE PLANNING

No Description Available

MEDICAL STAFF BYLAWS

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

Deficiencies cited in this report:

MEDICAL STAFF - ACCOUNTABILITY

PATIENT RIGHTS: GRIEVANCE REVIEW TIME FRAMES

PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION

PATIENT RIGHTS: RESTRAINT OR SECLUSION

No Description Available

No Description Available

No Description Available

QAPI PERFORMANCE IMPROVEMENT PROJECTS

No Description Available

MEDICAL STAFF BYLAWS

No Description Available

Deficiencies cited in this report:

PHYSICAL ENVIRONMENT

FACILITIES

Deficiencies cited in this report:

PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION

PATIENT RIGHTS:PARTICIPATION IN CARE PLANNING

No Description Available

MEDICAL STAFF BYLAWS

RN SUPERVISION OF NURSING CARE

CONTENT OF RECORD: HISTORY & PHYSICAL

DISCUSSION OF EVALUATION RESULTS