Clinic for Women

Health Violations

• Failed to keep an accurate and complete medical record on all patients receiving care
• No documentation of sedation in charts, no time on the consent signed by patient which puts the required 18 hour wait time in question
• Failed to provide a safe and healthful environment that minimizes the infecion exposure and risk
• Tears in exam tables, one in the area where patient’s vaginal area is exposed for procedures
• No immunizations on record, no TB skin test on record for employees
• Staff not observing the wait times after administration of sedation medications in order to speed up the process and push patients through faster
• Failed to properly clean and sanitize equipment (intracavity vaginal ultrasound probe) used from woman to woman
• Expired medications being stored for patient use
• The condition of the overall clinic posed a safety hazard to patients, staff and visitors
• The clinic did not implement quality assurance oversight according to its own policy and procedure
• Staff was dispensing controlled substances without a registration
• Facility failed to include and review serious adverse events in the quality assurance program
• No nurse present for infection control meetings
• Fire extinguishers not maintained and inspected as required
• Preventative maintenance not performed on patient equipment

2017-2019

• The clinic management had no documentation of implantation of internal or external disaster and emergency preparedness plans
• There was no policy in place to ensure that unauthorized individuals couldn’t gain access to medical records
• Clean and soiled laundry were not separated properly
• The management failed to maintain its required medical staff procedures for emergency transfers at the clinic
• Multiple ready to use supplies were expired