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.
|WADLEY REGIONAL MEDICAL CENTER||1000 PINE STREET TEXARKANA, TX 75501||June 23, 2011|
|VIOLATION: ORDERS DATED AND SIGNED||Tag No: A0454|
|Based on record review, the facility failed to assure all orders were dated and timed. Six instance of undocumented date or time were observed in one of one patient chart.
Review of patient #1 ' s medical record revealed the following missing dates and times:
-Admission orders with no documented date
-Admission orders with no documented time
-No date on verbal order countersignature on 5/29/2011
-No time on verbal order countersignature on 5/29/2011
-No date on verbal order countersignature on 5/30/2011
-No time on verbal order countersignature on 5/30/2011
|VIOLATION: VERBAL ORDERS AUTHENTICATED BASED ON LAW||Tag No: A0457|
|Based on record review, the facility failed to assure verbal orders were authenticated within 48 hours. Three instances of unauthenticated verbal orders were found in one of one patient chart.
Review of patient #1 ' s medical record revealed the following:
-Verbal order written on 6/02/11 was not authenticated
-Verbal order written on 6/10/11 was not authenticated x 2