HospitalInspections.org

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

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

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:

SPECIAL MEDICAL RECORD REQUIREMENTS

SOCIAL SERVICES RECORDS PROVIDE ASSESSMENT OF HOME PLANS

PLAN INCLUDES SHORT TERM/LONG RANGE GOALS

PLAN INCLUDES SPECIFIC TREATMENT MODALITIES UTILIZED

TREATMENT DOCUMENTED TO ASSURE ACTIVE THERAPEUTIC EFFORTS

MONITOR/EVALUATE QUALITY/APPROPRIATENESS OF SERVICES

PARTICIPATES IN FORMULATION OF TREATMENT PLANS

ADEQUATE STAFF TO PROVIDE THERAPEUTIC ACTIVITIES

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:

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:

No Description Available

No Description Available

No Description Available

No Description Available

No Description Available

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