| Oct 23, 2025 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: COMPLIANCE WITH 489.24 DELAY IN EXAMINATION OR TREATMENT |
| Aug 7, 2025 | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: COMPLIANCE WITH 489.24 MEDICAL SCREENING EXAM APPROPRIATE TRANSFER |
| May 7, 2025 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING SUPERVISION OF CONTRACT STAFF |
| Dec 4, 2024 | 4 | 0 | 0 | 4 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: CARE IN SAFE SETTING SUPERVISION OF CONTRACT STAFF DELIVERY OF SERVICES |
| Oct 17, 2024 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING SUPERVISION OF CONTRACT STAFF |
| Sep 10, 2024 | 4 | 0 | 0 | 4 | Read full report |
Deficiencies cited in this report: NURSING SERVICES LICENSURE OF HOSPITAL SUPERVISION OF CONTRACT STAFF ADMINISTRATION OF DRUGS |
| Aug 16, 2024 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: EMERGENCY ROOM LOG STABILIZING TREATMENT |
| Mar 1, 2024 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: NURSING SERVICES SUPERVISION OF CONTRACT STAFF |
| Jun 8, 2023 | 10 | 0 | 0 | 10 | Read full report |
Deficiencies cited in this report: GOVERNING BODY QAPI INFECTION PREVENTION CONTROL ABX STEWARDSHIP CONTRACTED SERVICES CONTRACTED SERVICES QUALITY IMPROVEMENT ACTIVITIES INFECTION CONTROL PROGRAM INFECTION CONTROL SURVEILLANCE, PREVENTION IC PROFESSIONAL RESPONSIBILITIES POLICIES IC PROFESSIONAL TRAINING |
| May 4, 2023 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: ON CALL PHYSICIANS |
| Jan 20, 2023 | 8 | 0 | 0 | 8 | Read full report |
Deficiencies cited in this report: MEDICAL STAFF NURSING SERVICES SURGICAL SERVICES MEDICAL STAFF BYLAWS STAFFING AND DELIVERY OF CARE SUPERVISION OF CONTRACT STAFF ADMINISTRATION OF DRUGS OPERATING ROOM POLICIES |
| May 23, 2019 | 19 | 0 | 0 | 19 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS FOOD AND DIETETIC SERVICES INFECTION PREVENTION CONTROL ABX STEWARDSHIP PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION RN SUPERVISION OF NURSING CARE PHARMACY ADMINISTRATION DELIVERY OF DRUGS MONITORING RADIATION EXPOSURE ORGANIZATION DIRECTOR OF DIETARY SERVICES COMPETENT DIETARY STAFF THERAPEUTIC DIET MANUAL MAINTENANCE OF PHYSICAL PLANT VENTILATION, LIGHT, TEMPERATURE CONTROLS INFECTION CONTROL PROGRAM OPERATING ROOM POLICIES RECORDS OF RADIO PHARMACEUTICALS |
| May 23, 2019 | 0 | 15 | 3 | 18 | Read full report |
Deficiencies cited in this report: Procedures for Tracking of Staff and Patients Arrangement with Other Facilities Primary/Alternate Means for Communication Building Construction Type and Height Means of Egress - General Doors with Self-Closing Devices Exit Signage Hazardous Areas - Enclosure Fire Alarm System - Notification Fire Alarm System - Testing and Maintenance Sprinkler System - Maintenance and Testing Portable Fire Extinguishers Corridor - Doors Fire Drills Gas and Vacuum Piped Systems - Inspection and Electrical Systems - Essential Electric Syste Electrical Equipment - Power Cords and Extens Gas Equipment - Cylinder and Container Storag |
| Apr 11, 2019 | 13 | 0 | 0 | 13 | Read full report |
Deficiencies cited in this report: GOVERNING BODY QAPI EMERGENCY SERVICES PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION DATA COLLECTION & ANALYSIS QUALITY IMPROVEMENT ACTIVITIES QAPI EXECUTIVE RESPONSIBILITIES ADMINISTRATION OF DRUGS INTEGRATION OF EMERGENCY SERVICES QUALIFIED EMERGENCY SERVICES PERSONNEL |
| Nov 17, 2016 | 8 | 0 | 0 | 8 | Read full report |
Deficiencies cited in this report: QAPI NURSING SERVICES DATA COLLECTION & ANALYSIS ADMINISTRATION OF DRUGS Standard-level Tag for Pharmaceutical Service PHARMACY DRUG RECORDS DELIVERY OF DRUGS PHARMACIST SUPERVISION OF SERVICES |
| Feb 26, 2015 | 16 | 0 | 0 | 16 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS QAPI NURSING SERVICES PATIENT RIGHTS: INFORMED DECISION PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT DATA COLLECTION & ANALYSIS PATIENT SAFETY NURSING CARE PLAN PATIENT CARE ASSIGNMENTS ADMINISTRATION OF DRUGS PHARMACY ADMINISTRATION DELIVERY OF DRUGS UNUSABLE DRUGS NOT USED INFORMED CONSENT No Description Available |
| Jun 14, 2012 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: INFORMED CONSENT INFORMED CONSENT |
| Jun 14, 2012 | 0 | 16 | 0 | 16 | 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 |
| Oct 21, 2011 | 12 | 0 | 0 | 12 | Read full report |
Deficiencies cited in this report: COMPLIANCE WITH LAWS GOVERNING BODY MEDICAL STAFF NURSING SERVICES LICENSURE OF HOSPITAL MEDICAL STAFF PERIODIC APPRAISALS MEDICAL STAFF ORGANIZATION & ACCOUNTABILITY MEDICAL STAFF BYLAWS MEDICAL STAFF PRIVILEGING MEDICAL STAFF QUALIFICATIONS PATIENT CARE ASSIGNMENTS EMERGENCY LABORATORY SERVICES |
| Apr 27, 2011 | 30 | 0 | 0 | 30 | Read full report |
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS QAPI FOOD AND DIETETIC SERVICES INFECTION PREVENTION CONTROL ABX STEWARDSHIP SURGICAL SERVICES LICENSURE OF PERSONNEL PATIENT RIGHTS: GRIEVANCES PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT CARE ASSIGNMENTS SUPERVISION OF CONTRACT STAFF MEDICAL RECORD SERVICES CONTENT OF RECORD: ORDERS DATED & SIGNED CONTENT OF RECORD: STANDING ORDERS Standard-level Tag for Pharmaceutical Service DELIVERY OF DRUGS CONTROLLED DRUGS KEPT LOCKED UNUSABLE DRUGS NOT USED DIRECTOR OF DIETARY SERVICES COMPETENT DIETARY STAFF THERAPEUTIC DIETS DIETS THERAPEUTIC DIET MANUAL FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM OPERATING ROOM POLICIES No Description Available No Description Available No Description Available |
| Apr 21, 2011 | 0 | 22 | 0 | 22 | 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 |
