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.

LAUREL REGIONAL MEDICAL CENTER 7300 VAN DUSEN ROAD LAUREL, MD 20707 May 1, 2014
VIOLATION: PATIENT RIGHTS: RESTRAINT OR SECLUSION Tag No: A0194
Based on review of the hospital policy and procedure for restraint and seclusion and the education packet on clinical restraints, it was determined that although the policy clearly delegates the task of performing the face-to-face to the RN in the absence of the LIP(Licensed Independent Practitioner, the clinical restraint training packet has one line on page 13 which states: " At LRH a specially trained RN may do the one hour face-to-face assessment but there are no specifics regarding the training and assessment requirements to ensure the face-to-face performed is complete and in compliance with the regulation. "
VIOLATION: PATIENT RIGHTS: RESTRAINT OR SECLUSION Tag No: A0196
Based on review of the hospital policy and procedure for restraint and seclusion and the education packet on clinical restraints, it was determined that although the policy clearly delegates the task of performing the face-to-face to the RN in the absence of the LIP, the clinical restraint training packet has one line on page 13, which states: At LRH a specially trained RN may do the one hour face-to-face assessment but there are no specifics regarding the training and assessment requirements to ensure the face-to-face performed is complete and in compliance with the regulation. The Director of Quality, Risk and Regulatory Affairs informed the surveyor that the hospital use to have a contract with a company that provided training for the staff regarding the face-to-face assessment. The hospital no longer has the contract and no training has occurred regarding the face-to-face assessment for 18 months. The hospital has mandated that physicians will perform the face-to-face evaluations until such time the RN training can be implemented.