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.

BAYLOR SCOTT & WHITE PAVILION - TEMPLE 2401 S 31ST ST TEMPLE, TX 76508 Sept. 13, 2017
VIOLATION: CONTENT OF RECORD - OTHER INFORMATION Tag No: A0467
Based on review of medical records and staff interview, the facility failed to ensure all information necessary to monitor the patient's condition were documented.

Findings included:

Review of patient #1's medical record revealed physician orders dated 6/6/15 that stated in part, "Notify physician SBP [systolic blood pressure] < [less than] 90 or > [greater than] 160; DBP [diastolic blood pressure] < 60 or > 120; HR [heart rate] < 60 or > 110 ..."

Patient #1's vital signs on 6/13/15 at 5:04 am were BP of 84/64 and HR of 116; the SBP and HR were out of normal range.
His vital signs on 6/13/15 at 11:00 am were BP of 94/56 and HR of 112; the DBP and HR were out of normal range. There was no documentation the physician was notified of these vital signs.

Review of patient #10's medical record revealed physician orders dated 9/9/17 that stated in part, "Notify physician for SBP < 90 or > 160 ..." Patient #10 had a BP on 9/9/17 at 10:40 pm of 162/85; the SBP was out of normal range. No documentation of the physician notification was found.
The above was verified in an interview with staff #1 on the afternoon of 9/13/17. Staff #1 stated, "Nursing should be following doctor's orders."