Sept. 14, 2021 |
14 |
1 |
Expired medications. |
Undetermined |
Details |
Sept. 14, 2021 |
14 |
2 |
Failure to conduct checks on cardiac equipment. |
Undetermined |
Details |
Sept. 14, 2021 |
14 |
3 |
Failure to clean surfaces in surgical suite. |
Undetermined |
Details |
Sept. 14, 2021 |
14 |
4 |
Failure to provide medical records in a timely manner. |
2 |
Details |
Sept. 14, 2021 |
14 |
4 |
Potentially harmful conditions. |
Undetermined |
Details |
Sept. 14, 2021 |
14 |
6 |
Oversight of pharmacy issues. |
Undetermined |
Details |
Sept. 14, 2021 |
14 |
7 |
Radiology documentation. |
3 |
Details |
Sept. 14, 2021 |
14 |
8 |
Failure to follow isolation precautions. |
1 |
Details |
Sept. 14, 2021 |
14 |
9 |
Lack of proper signage. |
Undetermined |
Details |
Sept. 14, 2021 |
14 |
10 |
Failure to maintain radiation protection equipment. |
Undetermined |
Details |
Sept. 14, 2021 |
14 |
11 |
Failure to sanitize equipment. |
Undetermined |
Details |
Sept. 14, 2021 |
14 |
12 |
Medication storage. |
Undetermined |
Details |
Sept. 14, 2021 |
14 |
13 |
Timely removal of restraints. |
3 |
Details |
Sept. 14, 2021 |
14 |
14 |
No clock for scrub sinks. |
Undetermined |
Details |
Nov. 29, 2017 |
29 |
1 |
Staff failed to follow physican's orders. |
1 |
Details |
Nov. 29, 2017 |
29 |
2 |
Staff failed to ensure an acceptable level of safety and quality in the Caesarean Section Operative Area. |
N/A |
Details |
Nov. 29, 2017 |
29 |
3 |
Staff failed to obtain a doctor's order on feeding a newborn. |
1 |
Details |
Nov. 29, 2017 |
29 |
4 |
Staff failed to obtain a doctor's order on administering a drug to a patient in labor. |
1 |
Details |
Nov. 29, 2017 |
29 |
5 |
Failed to follow procedures for pain assessments. |
5 |
Details |
Nov. 29, 2017 |
29 |
6 |
Staff failed to follow doctor's orders on administering medication. |
1 |
Details |
Nov. 29, 2017 |
29 |
7 |
Failed to have a patient's complete care plan in place. |
1 |
Details |
Nov. 29, 2017 |
29 |
8 |
Failed to follow policy in documenting the cleaning of the pharmacy. |
N/A |
Details |
Nov. 29, 2017 |
29 |
9 |
Staff failed to ensure medication assessments were done on patient. |
1 |
Details |
Nov. 29, 2017 |
29 |
10 |
Failed to ensure that electric medical beds were safe to use in behavioral health unit. |
N/A |
Details |
Nov. 29, 2017 |
29 |
11 |
Failed to follow procedures and policy on patient surveillance. |
1 |
Details |
Nov. 29, 2017 |
29 |
12 |
Failed to complete records for patients in the behavioral health unit.
|
N/A |
Details |
Nov. 29, 2017 |
29 |
13 |
Failed to ensure that emergency oxygen tanks in the ER were in good repair. |
N/A |
Details |
Nov. 29, 2017 |
29 |
14 |
Failed to follow doctor's orders for using restraints on patient. |
1 |
Details |
Nov. 29, 2017 |
29 |
15 |
Failed to follow doctor's orders for patient with sepsis, hypertension, acute kidney injury and other ailments. |
1 |
Details |
Nov. 29, 2017 |
29 |
16 |
Failed to ensure patient's discharge papers were accurate. |
1 |
Details |
Nov. 29, 2017 |
29 |
17 |
Failed to follow procedures for cleaning an accu-check machine. |
N/A |
Details |
Nov. 29, 2017 |
29 |
18 |
Failed to ensure facility policies were followed for an anesthesia cart. |
N/A. |
Details |
Nov. 29, 2017 |
29 |
19 |
Staff failed to ensure that safe practices were followed for medication and/or biological solutions. |
N/A |
Details |
Nov. 29, 2017 |
29 |
20 |
Failed to ensure floors were properly sanitized. |
N/A |
Details |
Nov. 29, 2017 |
29 |
21 |
Failed to ensure patient's assessment for skin integrity was done, as required. |
1 |
Details |
Nov. 29, 2017 |
29 |
22 |
Nurse failed to follow procedures for medications administered to patient. |
1 |
Details |
Nov. 29, 2017 |
29 |
23 |
Failed to follow procedure on communicating care plan to patient. |
1 |
Details |
Nov. 29, 2017 |
29 |
24 |
Failed to ensure care plan was followed for a patient with skin integrity. |
1 |
Details |
Nov. 29, 2017 |
29 |
25 |
Facility failed to ensure that a patient's care orders were followed. |
1 |
Details |
Nov. 29, 2017 |
29 |
26 |
Failed to follow procedures for intravenous insertion. |
1 |
Details |
Nov. 29, 2017 |
29 |
27 |
Failed to ensure that radiology and nuclear medicine were ready for inspection. |
N/A |
Details |
Nov. 29, 2017 |
29 |
28 |
Failed to ensure that the radiology and nuclear medicine departments were in regulatory compliance. |
N/A |
Details |
Nov. 19, 2017 |
29 |
29 |
Failed to give patient discharged from an out-patient psychiatric ward a complete discharge planning report. |
1 |
Details |
Aug. 15, 2017 |
2 |
1 |
Failed to follow hospital policy to provide a safe care setting for a patient with suicide ideation. |
1 |
Details |
Aug. 15, 2016 |
2 |
2 |
Failed to follow hospital policy on treatment and observation of patients with suicide ideation. |
10 |
Details |
July 22, 2015 |
17 |
1 |
Failed to implement highest level of well-being for mother and infant; failed to communicate comprehensive status of patients at shift change; failed to follow chain of command |
2 |
Details |
July 22, 2015 |
17 |
2 |
Failed to conduct ongoing assessments and communicate with responsibility party about discharge plan |
1 |
Details |
July 22, 2015 |
17 |
3 |
Failed to wear appropriate covers during operation |
1 |
Details |
July 22, 2015 |
17 |
4 |
Failed to ensure that operating room equipment was sanitary and that the room was properly cleaned |
Unknown |
Details |
July 22, 2015 |
17 |
5 |
Patient restrained in emergency department without using the least restrictive device |
1 |
Details |
July 22, 2015 |
17 |
6 |
Failed to ensure that items in pediatric playroom were sanitized after each patient use |
Unknown |
Details |
July 22, 2015 |
17 |
7 |
Failed to ensure correct operation was initially performed |
1 |
Details |
July 22, 2015 |
17 |
8 |
Failed to conduct and document particle testing on surfaces and in the air |
Unknown |
Details |
July 22, 2015 |
17 |
9 |
Failed to notify responsible party about change in patient's plan of care |
1 |
Details |
July 22, 2015 |
17 |
10 |
Failed to show that policy was followed with patient who had a Do Not Resuscitate order |
1 |
Details |
July 22, 2015 |
17 |
11 |
Records failed to reflect that patient was assessed after being given narcotics and/or after a change in condition |
1 |
Details |
July 22, 2015 |
17 |
12 |
Radiology department failed to comply with state regulation |
Unknown |
Details |
July 22, 2015 |
17 |
13 |
Flooring violated regulations |
Unknown |
Details |
July 22, 2015 |
17 |
14 |
Door did not completely close |
Unknown |
Details |
July 22, 2015 |
17 |
15 |
Storage room in dietary department lacked proper construction |
Unknown |
Details |
July 22, 2015 |
17 |
16 |
Corridor doors to patients' rooms in Behavioral Health unit did not meet fire codes |
Unknown |
Details |
July 22, 2015 |
17 |
17 |
Temporary walls during renovation not constructed so as to promote sanitary conditions |
Unknown |
Details |
April 15, 2014 |
1 |
1 |
Failure to use safe patient transfer procedure. Failure to complete a post-fall assessment. |
1 |
Details |
July 22, 2013 |
11 |
1 |
Failed to follow policy on cleaning of machinery. |
N/A |
Details |
July 22, 2013 |
11 |
2 |
Facility failed to ensure that infection control practices were followed by staff. |
N/A |
Details |
July 22, 2013 |
11 |
3 |
Staff failed to ensure that proper respiratory equipment was used on patient. |
1 |
Details |
July 22, 2013 |
11 |
4 |
Hospital failed to follow practices on cleanliness and infection control standards. |
N/A |
Details |
July 22, 2013 |
11 |
5 |
Hospital failed to ensure that pertinent medical information was in the patient's plan of care. |
2 |
Details |
July 22, 2013 |
11 |
6 |
Failed to follow procedure on postpartum assessments. |
1 |
Details |
July 22, 2013 |
11 |
7 |
Facility failed to properly assess and or implement procedures to promote high-level of well-being; or proper chain of command. |
2 |
Details |
July 22, 2013 |
11 |
8 |
Failed to follow infection control practices in Radiology Department. |
N/A |
Details |
July 22, 2013 |
11 |
9 |
Control procedures were not followed for batch of microbiology media. |
N/A |
Details |
July 22, 2013 |
11 |
10 |
Fire sprinklers not properly installed. |
N/A |
Details |
July 22, 2013 |
11 |
11 |
Used medical tape affixed to water supply hoses of dialysis machines. |
N/A |
Details |