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.

PALOMAR HEALTH DOWNTOWN CAMPUS 555 EAST VALLEY PARKWAY ESCONDIDO, CA 92025 March 20, 2018
VIOLATION: PATIENT RIGHTS: PRIVACY AND SAFETY Tag No: A0142
Based on observation and interview, the facility failed to ensure potential ligature points (anything which could be used to attach a cord, rope, or other material for the purpose of hanging or strangulation) were not present in the MHU of the facility.

As a result, there was the potential risk to the safety of the patients in the MHU.

Findings:

An onsite visit was made to the facility to investigate a self report of a successful suicide in the MHU.

A tour of the MHU was conducted on 12/20/17 at 1:50 P.M. with the DDR, DQPS, Facilities and DMHU.

There were multiple potential ligature points observed in patient rooms such as:
Headboards and footboards with hole openings, bed side rails, door hinges, door knobs, toilet piping, thermometers covered in square boxes, all of which could potentially have something looped through/over them.

In a room directly across from the nursing station (228), there was a bent metal paper towel holder, which created a loop access. This paper towel holder was bent by a patient who then looped a sheet/pillowcase through it to successfully hang himself.

The DQPS stated on 12/21/17 at 11:10 A.M. the facility was aware of the ligatures in the MHU.