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.

FREESTONE MEDICAL CENTER 125 NEWMAN ST FAIRFIELD, TX 75840 Jan. 5, 2017
VIOLATION: MEDICAL SCREENING EXAM Tag No: A2406
Based on document review and interview, the facility failed to provide a Medical Screening Examination by a doctor to 11 (Patients #5, 8, 10, 14, 15, 16, 18, 19, 23, 24, and #25) of 25 (Patients #1, 2, 3, 4, 6, 7, 9, 11, 12, 13, 17, 20, 21 and #22) patients presenting to the emergency room .

A review of Patients' #5, 8, 10, 14, 15, 16, 18, 19, 23, 24, and #25 emergency room records revealed the patients presented to the facility's emergency room seeking treatment. The medical records provided no evidence of an examination or treatment by an ED physician or the Primary Care physician on-call.

A review of the policy titled EMERGENCY MEDICAL TREATMENT AND LABOR ACT (EMTALA) revealed:
"6.2. An ED physician or the Primary Care physician on-call are the only providers authorized to provide a medical screening exam to all patients who present to the ED, to determine the presence or absence of an emergency condition ....
7. An emergency medical condition is defined as:
7.1. An acute symptom that needs immediate medical attention,
7.2. A condition which could jeopardize health of patient or unborn,
7.3. A condition that might result in serious impairment of bodily function, organ, or body part if not immediately treated,
7.4. A condition which includes labor, severe pain, psychiatric disturbance, and substance abuse."

An interview with the Chief Nursing Officer confirmed Patients #5, 8, 10, 14, 15, 16, 18, 19, 23, 24, and #25 did not receive examination or treatment by an ED physician or the Primary Care physician on-call.