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.

ST CHARLES HOSPITAL 200 BELLE TERRE ROAD PORT JEFFERSON, NY 11777 May 26, 2021
VIOLATION: PATIENT RIGHTS: NOTICE OF RIGHTS Tag No: A0117
Based on observation, medical record (MR) review, and interview, the facility failed to ensure the Parents' Bill of Rights was publicly displayed, and that patients and/or their representatives were provided a copy.

This failure denies patients and/or their representatives information about their rights.

Findings include:

During a tour of the facility's Emergency Department (ED) on 5/25/21 between 10:30 AM and 12:15 PM, the Parents' Bill of Rights was not posted at the main entrance or in the waiting areas. These observations were confirmed by Staff D (Director of ED), at the time of observation.

In three (3) of three (3) MRs [Patients #3, #10, and #11], no evidence that parents had received and/or signed for a copy of the Parents' Bill of Rights.

Per interview with Staff J (Director of Patient Access) on 5/25/21 at 2:15PM, a copy of the Parent's Bill of Rights is only given to inpatients when admitted to the hospital.

During interview with Staff A (Chief Nursing Officer) on 5/25/21 at 3:00PM, Staff A acknowledged this finding.