Whole Woman’s Health of Charlottesville (formerly Charlottesville Medical Center for Women)

Health Violations

• Failed to have adequate personnel to meet the needs of patients
• Unlicensed staff drawing up medications, administering narcotics for 20 years
• No documentation of employee education
• Clinical staff failed to obtain informed consent for abortions on minor patients
• No documentation that patient received counseling before her abortion procedure
• Expired medications and supplies in use
• Physician’s DEA (drug enforcement agency) number expired in 2012
• NO employee on the premises is certified in Advanced Cardiac Life Support (not even the doctor)
• Failed to maintain complete and accurate records (no documentation of vitals, consents, medication administration, progress notes, etc).
• No completed applications on employees
• Employees were not trained and their competency was not monitored. There was no record of training or orientation for any employees
• There was no background check or credentials verification on employees
• No health screening of employees
• No job description for staff
• The physician did not sign the discharge papers for patients violating state regulation that the doctor must remain present in the facility until patients are stable and discharged
• Staff did not maintain the equipment used for sterilizing instruments that are used from woman to woman – NO discharge orders were signed by the physician for the patients
• Facility failed to maintain inventory of handling and distribution of narcotics according to state code
• There was no documentation of a history and physical signed completed and signed by the physician in all of the charts reviewed
• Failed to document initiation, administration, progress and recovery from anesthesia in patients medical records
• Physician did not document any notes on the condition of the patients to verify that they met the criteria for discharge
• Facility failed to implement a complaint process and designate a staff member for resolutions
• Recliners were not disinfected between patients
• Nursing staff administered medications without a physician’s order.
• The facility failed to develop safe injection practices policies and procedures to protect patients and medical staff.
• Staff stored biomedical waste (products of conception) for more than 14 days which violates the law on controlled, regulated waste. No regulated medical waste may be stored for more than 15 days at the site of generation.
• Facility did not have the equipment for continuous cardiac monitoring for monitoring conscious sedation.
• Expired medications were in use. Waste log not completed for medications.
• Patients were discharged with a documented LOC of 2 (level of consciousness) on a scale of 1 to 10. An LOC of 2 would not be able to walk.