| Oct 7, 2021 | 5 | 0 | 0 | 5 | Read full report |
Deficiencies cited in this report: STAFFING AND DELIVERY OF CARE PHYSICAL ENVIRONMENT MAINTENANCE OF PHYSICAL PLANT LIFE SAFETY FROM FIRE INFECTION CONTROL PROGRAM |
| Oct 7, 2021 | 0 | 12 | 0 | 12 | Read full report |
Deficiencies cited in this report: Egress Doors Discharge from Exits Emergency Lighting Hazardous Areas - Enclosure Fire Alarm System - Testing and Maintenance Corridors - Construction of Walls Corridor - Doors Subdivision of Building Spaces - Smoke Barrie Subdivision of Building Spaces - Smoke Barrie Electrical Systems - Other Electrical Systems - Essential Electric Syste Electrical Equipment - Power Cords and Extens |
| Mar 13, 2019 | 16 | 0 | 0 | 16 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING QAPI PERFORMANCE IMPROVEMENT PROJECTS COMPETENT DIETARY STAFF MAINTENANCE OF PHYSICAL PLANT INFECTION CONTROL PROGRAM SPECIAL MEDICAL RECORD REQUIREMENTS SOCIAL SERVICES RECORDS PROVIDE ASSESSMENT OF HOME PLANS PSYCHIATRIC EVALUATION PSYCHIATRIC EVALUATION COMPLETED WITHIN 60 HRS OF ADMISSION EVALUATION INCLUDES INVENTORY OF ASSETS 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 |
Mar 5, 2019 Follow-up to inspection
on 2018-08-09* | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: MEDICAL SCREENING EXAM APPROPRIATE TRANSFER |
Jan 17, 2019 Follow-up to inspection
on 2018-08-09* | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: APPROPRIATE TRANSFER |
Nov 26, 2018 Follow-up to inspection
on 2018-08-09* | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: MEDICAL SCREENING EXAM STABILIZING TREATMENT |
| Aug 9, 2018 | 5 | 0 | 0 | 5 | Read full report |
Deficiencies cited in this report: COMPLIANCE WITH 489.24 POSTING OF SIGNS EMERGENCY ROOM LOG MEDICAL SCREENING EXAM STABILIZING TREATMENT |
May 25, 2017 Follow-up to inspection
on 2016-08-31* | 10 | 0 | 0 | 10 | Read full report |
Deficiencies cited in this report: CONTRACTED SERVICES PATIENT RIGHTS: INFORMED DECISION PATIENT RIGHTS: CARE IN SAFE SETTING MEDICAL STAFF RESPONSIBILITIES - H&P NURSING CARE PLAN UNUSABLE DRUGS NOT USED DIRECTOR OF DIETARY SERVICES PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE INFECTION CONTROL PROGRAM |
May 25, 2017 Follow-up to inspection
on 2016-06-16* | 0 | 2 | 0 | 2 | Read full report |
Deficiencies cited in this report: No Description Available No Description Available |
May 17, 2017 Follow-up to inspection
on 2016-08-31* | 10 | 0 | 0 | 10 | Read full report |
Deficiencies cited in this report: CONTRACTED SERVICES PATIENT RIGHTS: INFORMED DECISION PATIENT RIGHTS: CARE IN SAFE SETTING MEDICAL STAFF RESPONSIBILITIES - H&P NURSING CARE PLAN UNUSABLE DRUGS NOT USED DIRECTOR OF DIETARY SERVICES PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE INFECTION CONTROL PROGRAM |
Mar 22, 2017 Follow-up to inspection
on 2016-06-16* | 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 |
Feb 8, 2017 Follow-up to inspection
on 2016-08-31* | 8 | 0 | 0 | 8 | Read full report |
Deficiencies cited in this report: PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE SPECIAL MEDICAL RECORD REQUIREMENTS INDIVIDUAL COMPREHENSIVE TREATMENT PLAN 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 |
Jan 23, 2017 Follow-up to inspection
on 2016-06-16* | 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 |
Nov 30, 2016 Follow-up to inspection
on 2016-08-31* | 7 | 0 | 0 | 7 | Read full report |
Deficiencies cited in this report: PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE SPECIAL MEDICAL RECORD REQUIREMENTS INDIVIDUAL COMPREHENSIVE TREATMENT PLAN TREATMENT DOCUMENTED TO ASSURE ACTIVE THERAPEUTIC EFFORTS MONITOR/EVALUATE QUALITY/APPROPRIATENESS OF SERVICES PARTICIPATES IN FORMULATION OF TREATMENT PLANS |
| Aug 31, 2016 | 18 | 0 | 0 | 18 | Read full report |
Deficiencies cited in this report: CONTRACTED SERVICES PATIENT RIGHTS: INFORMED DECISION PATIENT RIGHTS: CARE IN SAFE SETTING MEDICAL STAFF RESPONSIBILITIES - H&P NURSING CARE PLAN UNUSABLE DRUGS NOT USED DIRECTOR OF DIETARY SERVICES PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE INFECTION CONTROL PROGRAM SPECIAL MEDICAL RECORD REQUIREMENTS INDIVIDUAL COMPREHENSIVE TREATMENT PLAN PLAN INCLUDES SPECIFIC TREATMENT MODALITIES UTILIZED TREATMENT DOCUMENTED TO ASSURE ACTIVE THERAPEUTIC EFFORTS SPECIAL STAFF REQUIREMENTS FOR PSYCHIATRIC HOSPITALS MONITOR/EVALUATE QUALITY/APPROPRIATENESS OF SERVICES PARTICIPATES IN FORMULATION OF TREATMENT PLANS SOCIAL SERVICES |
Aug 11, 2016 Follow-up to inspection
on 2016-06-16* | 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 |
| Jun 16, 2016 | 0 | 14 | 0 | 14 | 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 No Description Available No Description Available No Description Available |
| May 8, 2014 | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: PATIENT SAFETY ADMINISTRATION OF DRUGS FORMULARY SYSTEM |
| Jan 6, 2014 | 8 | 0 | 0 | 8 | Read full report |
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS:RESTRAINT/SECLUSION DEATH RPT PATIENT SAFETY RN SUPERVISION OF NURSING CARE MEDICAL RECORD SERVICES CONTENT OF RECORD |
Jun 20, 2013 Follow-up to inspection
on 2013-04-25* | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: PHYSICAL ENVIRONMENT MAINTENANCE OF PHYSICAL PLANT LIFE SAFETY FROM FIRE |
Jun 20, 2013 Follow-up to inspection
on 2013-04-25* | 0 | 14 | 0 | 14 | 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 No Description Available No Description Available No Description Available |
Jun 12, 2013 Follow-up to inspection
on 2013-04-25* | 4 | 0 | 0 | 4 | Read full report |
Deficiencies cited in this report: PHYSICAL ENVIRONMENT MAINTENANCE OF PHYSICAL PLANT EMERGENCY GAS AND WATER LIFE SAFETY FROM FIRE |
| Apr 25, 2013 | 18 | 0 | 0 | 18 | Read full report |
Deficiencies cited in this report: GOVERNING BODY CONTRACTED SERVICES CONTRACTED SERVICES CONTRACTED SERVICES PATIENT RIGHTS: EXERCISE OF RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING MEDICAL RECORD SERVICES CONTENT OF RECORD: STANDING ORDERS UNUSABLE DRUGS NOT USED FOOD AND DIETETIC SERVICES ORGANIZATION COMPETENT DIETARY STAFF No Description Available PHYSICAL ENVIRONMENT MAINTENANCE OF PHYSICAL PLANT EMERGENCY GAS AND WATER LIFE SAFETY FROM FIRE FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE |
| Apr 25, 2013 | 0 | 27 | 0 | 27 | 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 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 No Description Available No Description Available No Description Available No Description Available No Description Available |
| Oct 12, 2012 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: NURSING SERVICES RN SUPERVISION OF NURSING CARE |
| Aug 10, 2012 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: NURSING SERVICES RN SUPERVISION OF NURSING CARE |
Mar 1, 2011 Follow-up to inspection
on 2010-05-11* | 4 | 0 | 0 | 4 | Read full report |
Deficiencies cited in this report: PHYSICAL ENVIRONMENT MAINTENANCE OF PHYSICAL PLANT LIFE SAFETY FROM FIRE INFECTION CONTROL PROGRAM |
Mar 1, 2011 Follow-up to inspection
on 2010-05-11* | 0 | 2 | 0 | 2 | Read full report |
Deficiencies cited in this report: No Description Available No Description Available |
Dec 6, 2010 Follow-up to inspection
on 2010-05-11* | 5 | 0 | 0 | 5 | Read full report |
Deficiencies cited in this report: PHYSICAL ENVIRONMENT MAINTENANCE OF PHYSICAL PLANT LIFE SAFETY FROM FIRE VENTILATION, LIGHT, TEMPERATURE CONTROLS INFECTION CONTROL PROGRAM |
Dec 6, 2010 Follow-up to inspection
on 2010-05-11* | 0 | 3 | 0 | 3 | Read full report |
Deficiencies cited in this report: No Description Available No Description Available No Description Available |
Sep 2, 2010 Follow-up to inspection
on 2010-05-11* | 5 | 0 | 0 | 5 | Read full report |
Deficiencies cited in this report: PHYSICAL ENVIRONMENT MAINTENANCE OF PHYSICAL PLANT LIFE SAFETY FROM FIRE VENTILATION, LIGHT, TEMPERATURE CONTROLS INFECTION CONTROL PROGRAM |
Sep 2, 2010 Follow-up to inspection
on 2010-05-11* | 0 | 8 | 0 | 8 | 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 |
Jun 30, 2010 Follow-up to inspection
on 2010-05-11* | 0 | 9 | 0 | 9 | 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 |
Jun 30, 2010 Follow-up to inspection
on 2010-05-11* | 5 | 0 | 0 | 5 | Read full report |
Deficiencies cited in this report: PHYSICAL ENVIRONMENT MAINTENANCE OF PHYSICAL PLANT LIFE SAFETY FROM FIRE VENTILATION, LIGHT, TEMPERATURE CONTROLS INFECTION CONTROL PROGRAM |
| May 11, 2010 | 0 | 15 | 0 | 15 | 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 No Description Available No Description Available No Description Available No Description Available |
| May 11, 2010 | 15 | 0 | 0 | 15 | Read full report |
Deficiencies cited in this report: GOVERNING BODY CONTRACTED SERVICES PATIENT RIGHTS: CARE IN SAFE SETTING PROTECTING PATIENT RECORDS MEDICAL RECORD SERVICES CONTENT OF RECORD: INFORMED CONSENT CONTENT OF RECORD: FINAL DIAGNOSIS UNUSABLE DRUGS NOT USED PHYSICAL ENVIRONMENT MAINTENANCE OF PHYSICAL PLANT LIFE SAFETY FROM FIRE VENTILATION, LIGHT, TEMPERATURE CONTROLS INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROFESSIONAL INFECTION CONTROL PROGRAM |
| Jan 22, 2010 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING |
