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.

THE MONROE CLINIC 2005 5TH STREET MONROE, WI 53566 Feb. 17, 2015
VIOLATION: PATIENT RIGHTS: NOTICE OF RIGHTS Tag No: A0117
Based on record review and interview, the facility failed to ensure Pts were provided all their rights in writing upon admission,for 1 of 1 (pt. #1) records reviewed for patient rights in a sample of 1.

Findings include:

Per review on 2/17/15 at 11:00 AM of facility Pt Rights sheet given to Pts upon admission, that were in effect on the date Pt #1 arrived at the facility (1/19/15), and review of Pt #1's MR, the following rights are missing:

The right to receive care in a safe setting.

The right to formulate an Advanced Directive.

Per interview on 2/17/15 at 11:45 AM with CQM B, CQM B confirmed that the above rights were missing from Pt #1's medical record.