HospitalInspections.org

Based on record review and interview the hospital failed to include identified patient care issues in their Quality Assurance/Performance Improvement Program as evidenced by the failure to monitor Patient Master Treatment Plans resulting in 1) continued non-compliance of measurable short and long term goals (#F4, #F5, #F6, #F7); 2) failure to record patient progress (#F4, #F5, #F6, #F7); and 3) failure to provide social service activities as stated in the Master Treatment Plan (#F4, #F5, #F6, F#7). Findings:

1) Continued non-compliance of measurable short and long term goals (See findings at Tag B0121);

2) Failure to record patient progress (See findings at Tag B0123); and

3) Failure to provide social service activities as stated in the Master Treatment Plan (See findings at Tag B0131).