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.

TRI COUNTY HOSPITAL - WILLISTON 125 SW 7TH ST WILLISTON, FL Dec. 20, 2011
VIOLATION: QUALIFIED DIETITIAN Tag No: A0621
Based on observation and interview the hospital failed to employ a dietitian on full-time, part-time or on a consultant basis.

Findings:

Interview on 12/20/11 at 9:30 AM with the Human Resources Director stated that on 12/12/11 the dietitian was escorted off the premises by the police. She stated that he was acting inappropriately towards staff members.

Interview on 12/20/11 at 11 AM with the Dietary Manager stated that she previously worked at the facility and has had the training to perform this job. She stated that she started on 12/18/11. She stated that she provides meals based on the American Dietetic Association (ADA) standards. She reviews the current diets and ensures that the patients' dietary needs are met. She stated that she currently is working on menus and that specialty diets are provided using the ADA guidelines.

Review of the dietary policy and procedure manuals there were no specific guidelines listed for full liquid, clear liquid, 1800 calorie diabetic diet and low sodium diets.
VIOLATION: THERAPEUTIC DIET MANUAL Tag No: A0631
Based on interview and record review the hospital failed to provide a therapeutic diet manual that is approved by a dietitian and the medical staff.

Findings:

Interview on 12/20/11 at 9:30 AM with the Human Resources Director stated that on 12/12/11 the dietitian was escorted off the premises by the police. She stated that he was acting inappropriately to staff members.

Interview on 12/20/11 at 11 AM with the Dietary Manager stated that she previously worked at the facility and has had the training to perform this job. She stated that she started on 12/18/11. She reviews the current diets and ensures that the patients' dietary needs are met. She stated that she currently is working on menus and that specialty diets are provided using the American Dietetic Association guidelines.

Review of the dietary policy and procedure manuals there were no specific guidelines listed for full liquid, clear liquid, 1800 calorie diabetic diet and low sodium diets. A therapeutic diet manual, approved by a dietitian was not found in the facility.