The information below comes from the statement of deficiencies compiled by health inspectors and provided to AHCJ by the Centers for Medicare and Medicaid Services. It does not include the steps the hospital plans to take to fix the problem, known as a plan of correction. For that information, you should contact the hospital, your state health department or CMS. Accessing the document may require you to file a Freedom of Information Request. Information on doing so is available here.

THOMAS H BOYD MEMORIAL HOSPITAL 800 SCHOOL ST CARROLLTON, IL 62016 Feb. 9, 2011
VIOLATION: QA - QUALITY OF PATIENT CARE Tag No: C0336
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

A. Based on clinical record review and staff interview, it was determined that the CAH (Critical Access Hospital) failed to ensure a Quality Assurance program identified and assumed preventative measures to decrease the potential for problems and failed to integrate radiology services when necessary.

Findings include:

1. An onsite complaint investigation was conducted on survey date 02/08/11. An [AGE] year male presented to the ED from a nursing home (NH) to have a gastrostomy tube (G-tubes) reinserted. The RN inserted the #16 Fr Foley catheter into the abdominal stoma per MD order and the patient was transported back to the NH. There was no documented radiographic evidence that the G-tube was confirmed to be in the abdomen.

2. The DON indicated on survey date 02/08/11 that Radiology was not called out to confirm the G-tube placement. "This patient has a history of pulling out his feeding tube and the radiology department was not working at the time." "We have no policy and procedure developed for the insertion/reinsertion of G-tubes in the ED."