| Dec 4, 2025 | 10 | 0 | 0 | 10 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: NOTICE OF RIGHTS PATIENT RIGHTS: GRIEVANCE REVIEW TIME FRAMES PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION PATIENT RIGHTS: INFORMED CONSENT STAFFING AND DELIVERY OF CARE RN SUPERVISION OF NURSING CARE CONTENT OF RECORD: ORDERS,NOTES,REPORTS PHARMACY ADMINISTRATION INFECTION CONTROL SURVEILLANCE, PREVENTION |
| Sep 10, 2025 | 0 | 4 | 0 | 4 | Read full report |
Deficiencies cited in this report: HVAC Gas and Vacuum Piped Systems - Central Supply Gas and Vacuum Piped Systems - Maintenance Pr Electrical Systems - Maintenance and Testing |
| Jul 1, 2025 | 5 | 0 | 0 | 5 | Read full report |
Deficiencies cited in this report: GOVERNING BODY MEDICAL STAFF NURSING SERVICES MEDICAL STAFF ORGANIZATION & ACCOUNTABILITY BLOOD TRANSFUSIONS AND IV MEDICATIONS |
| Mar 12, 2025 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: COMPLIANCE WITH 489.24 MEDICAL SCREENING EXAM |
Jan 9, 2025 Follow-up to inspection
on 2024-10-15* | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: STAFFING AND DELIVERY OF CARE |
| Oct 15, 2024 | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: NURSING SERVICES ADMINISTRATION OF DRUGS BLOOD TRANSFUSIONS AND IV MEDICATIONS |
| Jun 26, 2024 | 3 | 0 | 0 | 3 | Read full report |
Deficiencies cited in this report: COMPLIANCE WITH 489.24 ON CALL PHYSICIANS STABILIZING TREATMENT |
| Oct 21, 2022 | 18 | 0 | 0 | 18 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS MEDICAL STAFF Condition of Participation: Pharmaceutical Se FOOD AND DIETETIC SERVICES INFECTION PREVENTION CONTROL ABX STEWARDSHIP PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION MEDICAL STAFF CREDENTIALING STAFFING AND DELIVERY OF CARE RN SUPERVISION OF NURSING CARE VERBAL ORDERS FOR DRUGS ORGANIZATION THERAPEUTIC DIETS MAINTENANCE OF PHYSICAL PLANT LIFE SAFETY FROM FIRE INFECTION CONTROL PROGRAM INFECTION CONTROL SURVEILLANCE, PREVENTION |
| Sep 29, 2022 | 0 | 9 | 0 | 9 | Read full report |
Deficiencies cited in this report: General Requirements - Other Multiple Occupancies Multiple Occupancies - Contiguous Non-Health Exit Signage Subdivision of Building Spaces - Smoke Barrie Building Services - Other Electrical Systems - Other Electrical Systems - Maintenance and Testing Electrical Systems - Essential Electric Syste |
| Jul 19, 2022 | 6 | 0 | 0 | 6 | Read full report |
Deficiencies cited in this report: Condition of Participation: Pharmaceutical Se INFECTION PREVENTION CONTROL ABX STEWARDSHIP PATIENT RIGHTS: REVIEW OF GRIEVANCES RN SUPERVISION OF NURSING CARE PHARMACY ADMINISTRATION INFECTION CONTROL PROGRAM |
May 4, 2018 Follow-up to inspection
on 2018-02-27* | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: EMERGENCY SERVICES INTEGRATION OF EMERGENCY SERVICES |
| Feb 27, 2018 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: COMPLIANCE WITH 489.24 APPROPRIATE TRANSFER |
Apr 25, 2017 Follow-up to inspection
on 2017-03-02* | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: QAPI QAPI PERFORMANCE IMPROVEMENT PROJECTS |
| Mar 30, 2017 | 0 | 5 | 0 | 5 | Read full report |
Deficiencies cited in this report: Hazardous Areas - Enclosure Sprinkler System - Installation Subdivision of Building Spaces - Smoke Compar Building Services - Other Electrical Systems - Maintenance and Testing |
| Mar 2, 2017 | 22 | 0 | 0 | 22 | Read full report |
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS NURSING SERVICES INFECTION PREVENTION CONTROL ABX STEWARDSHIP SURGICAL SERVICES LICENSURE OF PERSONNEL CONTRACTED SERVICES PATIENT RIGHTS: GRIEVANCES PATIENT RIGHTS: CARE IN SAFE SETTING QAPI GOVERNING BODY, STANDARD TAG STAFFING AND DELIVERY OF CARE FORM AND RETENTION OF RECORDS Standard-level Tag for Pharmaceutical Service PHARMACIST SUPERVISION OF SERVICES SECURE STORAGE UNUSABLE DRUGS NOT USED AFTER-HOURS ACCESS TO DRUGS INFECTION CONTROL PROFESSIONAL INFECTION CONTROL PROGRAM HISTORY AND PHYSICAL POST-OPERATIVE CARE No Description Available |
| Feb 2, 2017 | 2 | 0 | 0 | 2 | Read full report |
Deficiencies cited in this report: NURSING SERVICES STAFFING AND DELIVERY OF CARE |
| Nov 20, 2014 | 5 | 0 | 0 | 5 | Read full report |
Deficiencies cited in this report: NURSING SERVICES PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION PATIENT RIGHTS: PERSONAL PRIVACY STAFFING AND DELIVERY OF CARE ADMINISTRATION OF DRUGS |
| Sep 17, 2014 | 9 | 0 | 0 | 9 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING USE OF RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION CONTENT OF RECORD: ORDERS DATED & SIGNED |
Aug 19, 2014 Follow-up to inspection
on 2014-06-26* | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: QUALITY IMPROVEMENT ACTIVITIES |
| Jun 26, 2014 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: INFECTION PREVENTION CONTROL ABX STEWARDSHIP |
| Jun 3, 2014 | 1 | 0 | 0 | 1 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: GRIEVANCES |
| Apr 3, 2014 | 0 | 2 | 0 | 2 | Read full report |
Deficiencies cited in this report: No Description Available No Description Available |
| Apr 2, 2014 | 6 | 0 | 0 | 6 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS: GRIEVANCES PATIENT RIGHTS: CARE IN SAFE SETTING ORDERS FOR DRUGS AND BIOLOGICALS ORGANIZATION AND STAFFING FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM |
| Feb 26, 2014 | 5 | 0 | 0 | 5 | Read full report |
Deficiencies cited in this report: PATIENT RIGHTS NURSING SERVICES PATIENT RIGHTS:PARTICIPATION IN CARE PLANNING PATIENT RIGHTS: CARE IN SAFE SETTING RN SUPERVISION OF NURSING CARE |
