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.

PARKVIEW REGIONAL HOSPITAL 600 SOUTH BONHAM STREET MEXIA, TX 76667 Feb. 25, 2011
VIOLATION: PATIENT RIGHTS: GRIEVANCE REVIEW TIME FRAMES Tag No: A0122
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Based on interview and record review the hospital failed to respond to a patient grievance for 1 of 3 patients reviewed [Patient #1].

Findings Included:

[Patient #1] was admitted on [DATE] and discharged [DATE]. [Patient #1's] medical diagnosis was Pneumonia.

The Interdisciplinary patient needs database dated 12/31/10 timed at 00:15 AM. Patient standing in the hall and reports he wants to die. Complains of hurting all over. Valium 10 milligrams and Norco 10/325 pulled from pyxis ...patient would not believe that our Valium was the same as his. Patient got his own bottle out of a bag and compared the two. He then tried to take his Valium and our Valium. Abel to get four 5 milligram tablets from patient. The patient ' s bottle was removed and taken to the nursing station, refused to take pain medication ...son contacted...reports he will be up in a few minutes ...patient found lying on floor pointing at fall sign and laughing ...patient assisted to bed ...able to move all extremities, no deformities observed ..."

On 02/25/11 at 11:07 AM Staff #1 was interviewed. Staff #1 was asked if [Patient #1] filed a complaint/grievance with the hospital regarding care he was provided in the hospital. Staff #1 stated [Patient #1] and his family member came into the hospital complaining about the care he received while inpatient. Staff #1 was asked to provide evidence of the complaint/grievance from [Patient #1]. Staff #1 stated she had no documentation which indicated [Patient #1's] complaint/grievance was investigated. Staff #1 stated she was not aware of any hospital response and/or follow-up made to [Patient #1] regarding his complaint/grievance.

The policy entitled, "Complaints and Grievances on Behalf of Patients with an effective date of 11/09 reflected, "It is policy of...to provide patients and/or their legal representative with a mechanism for submitting a complaint or grievance...hospital will respond in writing to all grievances within seven days...if the grievance is not fully resolved...the hospital's written response will provide an update on what has been learned from the investigation...all verbal or written compliant regarding patient care, abuse, neglect, patient harm...are grievances...a verbal complaint is a patient grievance if...requires investigation and/or requires further actions for resolution..."