| Aug 15, 2025 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: RESTRAINT OR SECLUSION SUPERVISION OF CONTRACT STAFF |
| Jul 11, 2025 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING SAFETY POLICY AND PROCEDURES |
| Sep 18, 2024 | 5 | 0 | 0 | 5 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT NURSING CARE PLAN SCOPE AND FREQUENCY OF REVIEW DETERMINATIONS OF MEDICAL NECESSITY |
| Nov 9, 2023 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING |
| Sep 8, 2022 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: RECIPIENT HOSPITAL RESPONSIBILITIES |
| Mar 21, 2018 | 13 | 0 | 0 | 13 | Read full report |
Deficiencies cited in this report: GOVERNING BODY QAPI NURSING SERVICES INFECTION PREVENTION CONTROL ABX STEWARDSHIP SURGICAL SERVICES QUALITY IMPROVEMENT ACTIVITIES MEDICAL STAFF BYLAWS ORGANIZATION OF NURSING SERVICES NURSING CARE PLAN ADMINISTRATION OF DRUGS INFECTION CONTROL PROGRAM REASSESSMENT OF A DISCHARGE PLAN OPERATING ROOM POLICIES |
| Apr 28, 2016 | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: QUALITY IMPROVEMENT ACTIVITIES RN SUPERVISION OF NURSING CARE QUALIFIED EMERGENCY SERVICES PERSONNEL |
| Dec 23, 2015 | 5 | 0 | 0 | 5 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT FORM AND RETENTION OF RECORDS INTEGRATION OF EMERGENCY SERVICES |
| May 12, 2015 | 12 | 0 | 0 | 12 | Read full report |
Deficiencies cited in this report: GOVERNING BODY QAPI NURSING SERVICES PHYSICAL ENVIRONMENT RESPIRATORY CARE SERVICES CONTRACTED SERVICES PATIENT RIGHTS: CARE IN SAFE SETTING DATA COLLECTION & ANALYSIS PATIENT SAFETY ADMINISTRATION OF DRUGS LIFE SAFETY FROM FIRE RESPIRATORY CARE SERVICES POLICIES |
| Dec 19, 2013 | 19 | 0 | 0 | 19 | Read full report |
Deficiencies cited in this report: MEDICAL STAFF - BYLAWS AND RULES PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: CONFIDENTIALITY OF RECORDS QAPI EXECUTIVE RESPONSIBILITIES RN SUPERVISION OF NURSING CARE NURSING CARE PLAN ADMINISTRATION OF DRUGS MEDICAL RECORD SERVICES CONTENT OF RECORD: FINAL DIAGNOSIS PHARMACY ADMINISTRATION DELIVERY OF DRUGS SECURE STORAGE UNUSABLE DRUGS NOT USED STOP-ORDERS FOR DRUGS DIRECTOR OF DIETARY SERVICES QUALIFIED DIETITIAN DIETS INFECTION CONTROL PROFESSIONAL INFECTION CONTROL PROGRAM |
| Dec 13, 2013 | 0 | 20 | 0 | 20 | 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 Means of Egress - General |
| Oct 29, 2013 | 4 | 0 | 0 | 4 | Read full report |
Deficiencies cited in this report: EMERGENCY SERVICES PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT SAFETY FORM AND RETENTION OF RECORDS |
| Aug 29, 2013 | 16 | 0 | 0 | 16 | Read full report |
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS QAPI MEDICAL STAFF NURSING SERVICES PATIENT RIGHTS: CARE IN SAFE SETTING DATA COLLECTION & ANALYSIS QUALITY IMPROVEMENT ACTIVITIES PATIENT SAFETY MEDICAL STAFF ORGANIZATION & ACCOUNTABILITY MEDICAL STAFF BYLAWS RN SUPERVISION OF NURSING CARE NURSING CARE PLAN FORM AND RETENTION OF RECORDS DISCHARGE PLANNING-EVALUATION REASSESSMENT OF A DISCHARGE PLAN |
| Jun 21, 2013 | 11 | 0 | 0 | 11 | Read full report |
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS QAPI PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION DATA COLLECTION & ANALYSIS NURSING CARE PLAN ADMINISTRATION OF DRUGS FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE |
May 10, 2013 Follow-up to inspection on 2013-03-13* | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: COMPETENT DIETARY STAFF THERAPEUTIC DIETS |
| Mar 13, 2013 | 15 | 0 | 0 | 15 | Read full report |
Deficiencies cited in this report: GOVERNING BODY QAPI FOOD AND DIETETIC SERVICES DATA COLLECTION & ANALYSIS QAPI GOVERNING BODY, STANDARD TAG STAFFING AND DELIVERY OF CARE RN SUPERVISION OF NURSING CARE ADMINISTRATION OF DRUGS DELIVERY OF DRUGS DIRECTOR OF DIETARY SERVICES QUALIFIED DIETITIAN DIETS THERAPEUTIC DIET MANUAL INFECTION CONTROL PROGRAM No Description Available |
| Mar 12, 2013 | 0 | 30 | 0 | 30 | 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 No Description Available Means of Egress - General |
| Dec 14, 2012 | 10 | 0 | 0 | 10 | Read full report |
Deficiencies cited in this report: GOVERNING BODY QAPI NURSING SERVICES PATIENT SAFETY QAPI EXECUTIVE RESPONSIBILITIES STAFFING AND DELIVERY OF CARE NURSING CARE PLAN ADMINISTRATION OF DRUGS Standard-level Tag for Pharmaceutical Service DELIVERY OF DRUGS |
| May 24, 2012 | 5 | 0 | 0 | 5 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: GRIEVANCES RN SUPERVISION OF NURSING CARE NURSING CARE PLAN PHARMACY ADMINISTRATION No Description Available |
| Apr 24, 2012 | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: COMPLIANCE WITH 489.24 MEDICAL SCREENING EXAM STABILIZING TREATMENT |
| Jun 1, 2011 | 20 | 0 | 0 | 20 | Read full report |
Deficiencies cited in this report: PHYSICAL ENVIRONMENT INFECTION PREVENTION CONTROL ABX STEWARDSHIP LICENSURE OF HOSPITAL CONTRACTED SERVICES PATIENT RIGHTS: RESTRAINT OR SECLUSION RN SUPERVISION OF NURSING CARE NURSING CARE PLAN ADMINISTRATION OF DRUGS STANDING ORDERS FOR DRUGS DELIVERY OF DRUGS DIRECTOR OF DIETARY SERVICES DIETS MAINTENANCE OF PHYSICAL PLANT FACILITIES FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM No Description Available No Description Available No Description Available No Description Available |
| Jun 1, 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 Means of Egress - General |
| May 23, 2011 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: RECEIVING AN INAPPROPRIATE TRANSFER |
| Mar 8, 2011 | 22 | 0 | 0 | 22 | Read full report |
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS QAPI NURSING SERVICES EMERGENCY SERVICES PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: CONFIDENTIALITY OF RECORDS PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT SAFETY STAFFING AND DELIVERY OF CARE RN SUPERVISION OF NURSING CARE PATIENT CARE ASSIGNMENTS INTEGRATION OF EMERGENCY SERVICES EMERGENCY SERVICES POLICIES QUALIFIED EMERGENCY SERVICES PERSONNEL No Description Available No Description Available No Description Available No Description Available |
| May 18, 2010 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: COMPLIANCE WITH 489.24 MEDICAL SCREENING EXAM |