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.
|HARRIS HEALTH SYSTEM||2525 HOLLY HALL HOUSTON, TX 77054||Jan. 21, 2011|
|VIOLATION: ORGANIZATION OF NURSING SERVICES||Tag No: A0386|
|Based on review of nurse staffing rosters, review of personnel/training files and review of hospital policy the Director failed to ensure 8 of 9 nursing personnel assigned to the rehabilitation unit were provided with eight hours annual training on the identification of patient abuse and neglect and unethical/unprofessional conduct as required by hospital policy.
Review of the staffing roster for the rehabilitation unit for the 7 am - 7pm shift on 10/14/2010 reflected the assignment of 4 RN's, 4 Certified Nurses Aids(CNA) and one unit secretary. In review of corresponding personnel/training files, 8 of the 9 personnel had no evidence of 8 hours annual training in the identification of patient abuse and neglect that is required by hospital policy..
( Personnel # 1,2,3,5,6,7,8,9)