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.

BAPTIST BEAUMONT HOSPITAL 3080 COLLEGE STREET BEAUMONT, TX 77701 Sept. 18, 2015
VIOLATION: PATIENT RIGHTS: GRIEVANCES Tag No: A0118
Based on chart review and interview the facility failed to assist the patient in completing the complaint and grievance procedure in 1(#1) of 5(#1-5) chart reviews.



Review of patient #1's chart revealed patient #1 was in the patient day area cursing and being loud. One of the Mental Health Technician (MHT) attempted to redirect patient #1. Patient #1 balled her fist and attempted to strike the MHT. Patient #1 was placed in a physical hold and taken to her room. Patient #1 was released and regained control, no medication was needed. Patient #1 went to the phone and called the state hotline and made a complaint about the hold.


Review of the complaint and grievance log revealed there was no documentation of the complaint patient #1 made on 9/17/15 to the state hotline.


An interview on 9/18/15 with staff #4 and #8 revealed staff #4 was not notified of the incident or of the patient complaint. Staff #8 reported the patient did call the hotline and he was trying to assist in resolving the patients complaint. Staff #8 reported he was not sure why staff #4 was not notified of the patient complaint. Staff #4 and #8 confirmed there had been a communication breakdown and staff #4 should have been notified to complete the complaint/grievance process.
VIOLATION: PATIENT RIGHTS: GRIEVANCE PROCEDURES Tag No: A0121
Based on chart review and interview the facility failed to assist the patient in completing the complaint and grievance procedure in 1(#1) of 5(#1-5) chart reviews.



Review of patient #1's chart revealed patient #1 was in the patient day area cursing and being loud. One of the Mental Health Technician (MHT) attempted to redirect patient #1. Patient #1 balled her fist and attempted to strike the MHT. Patient #1 was placed in a physical hold and taken to her room. Patient #1 was released and regained control, no medication was needed. Patient #1 went to the phone and called the state hotline and made a complaint about the hold.


Review of the complaint and grievance log revealed there was no documentation of the complaint patient #1 made on 9/17/15 to the state hotline.


An interview on 9/18/15 with staff #4 and #8 revealed staff #4 was not notified of the incident or of the patient complaint. Staff #8 reported the patient did call the hotline and he was trying to assist in resolving the patients complaint. Staff #8 reported he was not sure why staff #4 was not notified of the patient complaint. Staff #4 and #8 confirmed there had been a communication breakdown and staff #4 should have been notified to complete the complaint/grievance process.
VIOLATION: NURSING CARE PLAN Tag No: A0396
Based on record review and interview the facility failed to list a medical diagnosis of a condition that was treated at the facility.


Review of patient #1's chart revealed patient #1 was diagnosed with a Urinary Tract Infection (UTI) in the facility's Emergency department (ED) prior to admission to the psychiatric unit. Patient #1 was started on Bactrim DS 160mg every 12 hours for 10 days on 9/13/2015.


Review of patient #1's treatment plan revealed there was no documentation found of the UTI, goals, or interventions.


An interview with staff #4 (RN) confirmed there was no documentation on the treatment plan for the UTI.