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.

ST JAMES HEALTHCARE 400 S CLARK ST BUTTE, MT 59701 July 20, 2017
VIOLATION: COMPLIANCE WITH 489.24 Tag No: A2400
1. The facility failed to meet the following requirements under the EMTALA regulation:

Tag A2402-Posting of Signs

Based on observation and interview, the facility failed to post signs specifying the rights of individuals to receive examination and treatment for emergency medical conditions and women in labor in a conspicuous area to be noticed by all individuals entering the emergency department. This has the potential to affect most patients entering the emergency department for services.
VIOLATION: POSTING OF SIGNS Tag No: A2402
Based on observation and interview, the facility failed to post signs specifying the rights of individuals to receive examination and treatment for emergency medical conditions and women in labor in a conspicuous area to be noticed by all individuals entering the emergency department. This has the potential to affect most patients entering the emergency department for services. Findings include:

During a tour of the facility emergency department on 7/19/17 at 11:30 a.m., the patient entrances, waiting room, registration area, and triage room were observed with staff member E. No signs specifying the rights of individuals to receive examination and treatment for emergency medical conditions and women in labor were posted in the walk-in front entrance doorway or hallway. No signs were posted in the registration area or the triage area/room. One sign was posted in a back corner of the waiting room that was not visible to patients from the registration area, triage area, or walk-in front entrance area.

During an interview and observation on 7/20/17 at 10:40 a.m., staff member E showed the surveyor the signs had been placed at the registration booths. The sign in the waiting room remained in the same area. The sign at the ambulance entrance was to be moved from the side of the wall inside the entrance to the corner of the nurse's station straight ahead of the ambulance entrance.