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.

NORTHWEST HOSPITAL CENTER 5401 OLD COURT ROAD RANDALLSTOWN, MD 21133 Aug. 24, 2012
VIOLATION: PATIENT RIGHTS: NOTICE OF RIGHTS Tag No: A0117
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Based on review of 5 open records and 10 closed medical records, it was determined that two of the ten closed records did not contain documentation that the patients were informed of their rights as hospital patients.

There is a two page form to be signed on admission by the patient or their representative regarding rights and responsibilities. The form includes consent for treatment, patient rights, responsibility for valuables, payment guarantee, Medicare authorization, and the information release for insurance benefits.

Closed record #10 was a patient admitted on [DATE]. The form upon review on 8/24/12 in a closed medical record was blank. There is no documentation that the patient or his/her representative had been informed of the patient rights. The form has space provided to document why the patient cannot sign or is unable to sign the form. These areas are also blank.

Closed record #15 was a patient admitted on [DATE]. The form upon review on 8/24/12 in a closed medical record was blank. There is no documentation that the patient or his/her representative had been informed of the patient rights. The form has space provided to document why the patient cannot sign or is unable to sign the form. These areas are also blank.
VIOLATION: ORGANIZATION OF NURSING SERVICES Tag No: A0386
Observation and review of the hospital ' s Nursing Service job descriptions on 08/24/12, revealed that there were (4) job descriptions (RN I & II, Nurse Manager, and Director of Patient Care Services) that lacked specification as to who "supervises" these individuals or to whom they report.
The Nursing Service is responsible for the 24 hour delivery of patient care and involves various responsibilities, elegation of duties and over site/monitoring by designated staff. Lines of authority are important in the provision of safe patient care and general operation of the nursing service.
VIOLATION: MEDICAL RECORD SERVICES Tag No: A0450
Based on a review of 4 open records and 11 closed medical records, it was determined that two of the eleven closed records were not complete.
Closed medical records for patient #10 and patient #15, who were admitted in May 2012, are incomplete since the documentation forms for patient rights were blank upon review on 8/24/12. The form has space provided to document why the patient cannot sign or is unable to sign the form. These areas are also blank.