Complete reports and deficiency counts
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| Jun 24, 2025 | 9 | 0 | 7 | 16 | Read full report |
Deficiencies cited in this report: PHYSICAL ENVIRONMENT Establishment of the Emergency Program (EP) MEDICAL STAFF - BYLAWS AND RULES CHIEF EXECUTIVE OFFICER ADMINISTRATION OF DRUGS MEDICAL RECORD SERVICES UNUSABLE DRUGS NOT USED PERIODIC EQUIPMENT MAINTENANCE DIRECTOR OF DIETARY SERVICES THERAPEUTIC DIET MANUAL Plan Based on All Hazards Risk Assessment EP Program Patient Population Local, State, Tribal Collaboration Process Procedures for Tracking of Staff and Patients EP Training and Testing EP Training Program |
| Jun 24, 2025 | 0 | 10 | 0 | 10 | Read full report |
Deficiencies cited in this report: Means of Egress - General Discharge from Exits Hazardous Areas - Enclosure Cooking Facilities Fire Alarm System - Testing and Maintenance Sprinkler System - Installation Sprinkler System - Maintenance and Testing Sprinkler System - Maintenance and Testing Smoking Regulations Gas Equipment - Cylinder and Container Storag |
| Feb 20, 2020 | 12 | 0 | 0 | 12 | Read full report |
Deficiencies cited in this report: PHYSICAL ENVIRONMENT QAPI PERFORMANCE IMPROVEMENT PROJECTS STAFFING AND DELIVERY OF CARE ADMINISTRATION OF DRUGS BLOOD TRANSFUSIONS AND IV MEDICATIONS UNUSABLE DRUGS NOT USED ORGANIZATION QUALIFIED DIETITIAN FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM OPERATING ROOM POLICIES REQUIRED OPERATING ROOM EQUIPMENT |
| Feb 18, 2020 | 0 | 11 | 0 | 11 | Read full report |
Deficiencies cited in this report: Exit Signage Hazardous Areas - Enclosure Alcohol Based Hand Rub Dispenser (ABHR) Fire Alarm System - Installation Fire Alarm System - Notification Fire Alarm System - Testing and Maintenance Sprinkler System - Installation Sprinkler System - Maintenance and Testing Fire Drills Smoking Regulations Electrical Systems - Essential Electric Syste |
| Oct 9, 2019 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: INFECTION CONTROL PROGRAM |
| Mar 3, 2017 | 0 | 7 | 0 | 7 | Read full report |
Deficiencies cited in this report: Hazardous Areas - Enclosure Cooking Facilities Sprinkler System - Maintenance and Testing Portable Fire Extinguishers Fire Drills Electrical Systems - Essential Electric Syste Gas Equipment - Qualifications and Training |
| Mar 2, 2017 | 7 | 0 | 0 | 7 | Read full report |
Deficiencies cited in this report: PHYSICAL ENVIRONMENT MEDICAL STAFF - ACCOUNTABILITY USE OF RESTRAINT OR SECLUSION STAFFING AND DELIVERY OF CARE ORDERS FOR DRUGS AND BIOLOGICALS CONTENT OF RECORD PHARMACY DRUG RECORDS |
| Feb 20, 2014 | 17 | 0 | 0 | 17 | Read full report |
Deficiencies cited in this report: QAPI NURSING SERVICES PHYSICAL ENVIRONMENT INFECTION PREVENTION CONTROL ABX STEWARDSHIP PATIENT RIGHTS: RESTRAINT OR SECLUSION DATA COLLECTION & ANALYSIS STAFFING AND DELIVERY OF CARE ORDERS FOR DRUGS AND BIOLOGICALS CONTENT OF RECORD UNUSABLE DRUGS NOT USED ORGANIZATION MAINTENANCE OF PHYSICAL PLANT FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE VENTILATION, LIGHT, TEMPERATURE CONTROLS INFECTION CONTROL PROGRAM HHA AND SNF REQUIREMENTS REQUIRED OPERATING ROOM EQUIPMENT |
| Feb 19, 2014 | 0 | 28 | 0 | 28 | Read full report |
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available |
| Mar 1, 2011 | 0 | 25 | 0 | 25 | Read full report |
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available |
| Feb 24, 2011 | 8 | 0 | 0 | 8 | Read full report |
Deficiencies cited in this report: PHYSICAL ENVIRONMENT PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION STAFFING AND DELIVERY OF CARE FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE EMERGENCY SERVICES POLICIES |
Some state health departments and regional offices of the Centers for Medicare and Medicaid Services sometimes did not upload their inspection reports into a central computer system that could then be shared by us. In such cases, CMS identified the dates of the missing inspections and the number of deficiencies identified. You can request the actual reports from CMS or your state health department.
* Deficiencies cited in follow-up inspections are not counted toward a facility's total deficiency count.
