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.

UNIVERSITY MEDICAL CENTER OF EL PASO 4815 ALAMEDA AVE EL PASO, TX 79905 Jan. 16, 2018
VIOLATION: DIETS Tag No: A0630
Based on review of records and interview, it was determined that the hospital failed to provide diets that met the nutritional needs of its patients.

Findings were:

Patient # 1 was hospitalized at University Medical Center in El Paso, Texas from October 23, 2017 thru October 25, 2017. During that time there is documented evidence that the patient ate only 10% of her lunch meal on 10/24/17. Otherwise, Patient # 1 had no food or fluids by mouth during the two and a half days of her stay. There was a dietary consult that stated "At the time of the visit pt. was covered and did not answer any questions. Was not able to obtain nutrition- related history. Second visit patient was asleep with a tray of food left untouched ...no nutrition diagnosis at this time. Will follow up and obtain nutrition related history. If intake is < 75% please add daily Ensure and MVI." There is no record that the patient received an Ensure during her stay in the hospital.

Patient # 4, who was hospitalized at the same time and floor (Telemetry) as Patient # 1, had the following complained "Food trays are left out of reach of patient and unless family is beside the patient does not eat."

In interviews on 1/16/18 with the Administrative Director of Quality Management and the RN that took care of Patient # 1 on 10/24 and 10/25/17, it was admitted that the patient did not eat while a patient at University Medical Center. In fact, the RN was unaware that a dietary consult had taken place.
VIOLATION: PATIENT RIGHTS: CARE IN SAFE SETTING Tag No: A0144
Based on review of documentation and interview, it was determined that the facility did not always provide safe and sanitary care to its patients.

Findings were:

Patient # 1 stated in a grievance that she "needed assistance in sitting up, using the restroom or even ringing the call bell." Further she "was incontinent of urine and was not provided with timely incontinent care or a brief. The nurse told her sister that the hospital did not provide adult diapers. Her room smelled of urine."

During the two days and a half days that Patient # 1 was a patient at University Medical Center, there is only documentation that she received incontinence care twice. There is no documented evidence that an adult brief was provided.

In interviews with the day CNA and the RN that cared for Patient # 1 on 10/24 and 10/25/17, it was acknowledged that there was only documented evidence of incontinent care twice during her stay. Both staff members said that they would not awaken the patient to check for incontince if the patient was asleep when they entered the room. Further, there was no documentation that the patient had been assisted to the restroom during those days.
VIOLATION: STAFFING AND DELIVERY OF CARE Tag No: A0392
Based on review of documentation and interview, it was determined that the facility did not always provide nursing services per standard nursing practice.

Findings were:

Patient # 1 stated in a grievance that she "needed assistance in sitting up, using the restroom or even ringing the call bell." Further she "was incontinent of urine and was not provided with timely incontinent care or a brief. The nurse told her sister that the hospital did not provide adult diapers. Her room smelled of urine."

During the two days and a half days that Patient # 1 was a patient at University Medical Center, there is only documentation that she received incontinence care twice.

Patient # 1 was hospitalized at University Medical Center in El Paso, Texas from October 23, 2017 thru October 25, 2017. During that time there is documented evidence that the patient ate only 10% of her lunch meal on 10/24/17. Other than that, there is no documented evidence to show that the patient had food or drink by mouth during the 2 1/2 days of her stay. There was a dietary consult that stated "At the time of the visit pt. was covered and did not answer any questions. Was not able to obtain nutrition- related history. Second visit patient was asleep with a tray of food left untouched ...no nutrition diagnosis at this time. Will follow up and obtain nutrition related history. If intake is < 75% please add daily Ensure and MVI." There is no record that the patient received an Ensure during her stay in the hospital.

Patient # 4, who was hospitalized at the same time and floor (Telemetry) as Patient # 1, had the following complained "Food trays are left out of reach of patient and unless family is beside the patient does not eat."

In interviews on 1/16/18 with the Administrative Director of Quality Management and the RN and the CNA that took care of Patient # 1 on 10/24 and 10/25/17, the above concerns were acknowledged.