HospitalInspections.org

Based on observation and interview, the Governing Body failed to ensure that the facility implemented a Grievance and/or Complaint Policy and Procedure to address patient's and/or family member's concerns.

Findings were:

In an interview with the Staff # 11, the Chief Operating Officer, in the afternoon on 03/21/2016, Staff # 11was asked to provide the surveyor with the grievance/complaint log, and the Grievance/Complaint policy and procedure documents. Staff # 11 stated, "Ochiltree General Hospital did not have a Grievance or Complaint Process; and that the hospital did not have a complaint log." Staff # 11 said, "No complaints were reported in the past six months and I am currently working on developing the Grievance and/or Complaint policy and procedure for the hospital."

Based on observation and interview the facility failed to post a patient's rights to emergency treatment sign(s) in a place or places likely to be noticed by all individuals entering the emergency department, as well as those individuals waiting for examination and treatment.

Findings included:

During a tour of the facility Emergency Department, on 3/22/16, in the morning, the two (2) emergency room entrances and the patient rooms did not have postings explaining the patient's rights.
During the tour, Staff #1, the Emergency Room Director of Nursing, confirmed the findings.