- Failure to train, comply with, and ensure infection control standards. During observed pre-op and during a procedure, hand hygiene was not consistently performed by multiple staff. Staff was observed putting glove on only one hand after not performing hand hygiene and providing patient care. Staff was observed discarding gloves and replacing gloves without ever using hand hygiene.
- A staff member was observed performing an intrauterine ultrasound, then assisting in the abortion, then poured the bodily fluids and products of conception into his gloved hand then into a specimen cup, all without hand hygiene. This along with expired meds increases patient risk of infection.
- Med fridge had “Brown colored stains on walls and bottom shelf. When asked about it, physician stated they had “cleaned it out some after the last survey”
- Surgical table located in operating room had multiple tears with foam protruding.
- Sharps were discarded into regular trash can.
- There was brown and green drainage from a container that contained fetal remains in freezer.
- Brown/black flakes on scissors in an emergency kit.
- Failure to properly clean procedure table between patients.
- Cloth pillows not in cleanable cases throughout the facility.
- Failure to clean blood pressure cuff between patients.
- Failure to spore test autoclave. Repeated deficiency.
- Failure to properly label and store medications. Physician was using single dose RhoGam as a multi dose medication (as many as six doses).
- Ten unlabeled syringes filled with clear liquid were stored in med fridge.
- Expired Medications and supplies found throughout clinic. Some supplies had expired as long as 10 years before survey. Noted in report as a repeated deficiency. When confronted with this the physician/owner made no comment.
- Failure to maintain current preventative maintenance on all equipment. The emergency equipment had not been properly maintained and the last inspection sticker on the cardiac monitor from 2 years prior indicated that the equipment “FAILED” inspection.
- Unlicensed, unqualified, untrained staff providing patient care. Repeated deficiency.
- Staff were not current in CPR and basic life support.
- Failure to ensure staff are properly trained.
- Failure to adopt, follow, and or periodically review health and safety protocols. Repeated deficiency
- Failure to perform “time out” before surgery to confirm correct patient, correct procedure, correct site, and allergy status for 16 out of 20 patients reviewed. Physician had no comment when confronted.
- Failure to implement any form of quality control.
- Failure to make improvements to patient care and quality assurance in clinic. Repeated deficiency
- Failure to keep medical information confidential. 97 unsecured medical files were found on a window sill, next to the desk, in an open cardboard box.
- HIPAA Breach: Nurse called the wrong number asking a random person to pick up a patient. She called the patients name multiple times on the phone explaining that someone should come pick up this patient from her (named) procedure. Nurse stated she may have given a used form to patient to fill out, that had a previous patient’s contact person listed.
Report 2013
Report 2016
DISCLAIMER: All of the inspection reports on this site were acquired through public records request to state departments of health and public records online.