Health Violations

  • Physician did not complete an application to ensure that he is licensed in the state
  • Medication being administered without a doctor’s order
  • Incorrect dosing administered to patients (order for 1 gm Azithromycin and only 500mg administered)
  • Medications not administered at all
  • The facility failed to ensure that practitioner’s orders were followed for administering medications and that these meds were ordered within the scope of the practitioner’s license
  • No documentation of patient identification and verification before performing surgical procedures
  • Staff failed to maintain clear and accurate records by not documenting medication administration, patient identification and verification, discharge orders, adverse reaction, anesthesia administration
  • Nursing staff did not document each event separately during anesthesia administration
  • Physician did not properly document or report complications during procedures. (use of a hemostatic solution Monsels to stop bleeding charted but no complication charted; comment that doc was unable to place dilators due to patient discomfort but no further intervention noted)
  • The facility failed to provide staff trained in Pediatric Advanced Life Support (PALS) for surgical procedures performed on children under 18 years of age. Patients under the age of 18 received abortion services at the facility from September 1, 2016, to December 31, 2016. A request was made by the inspector for a list of providers that perform surgical procedures at the facility and a list of providers that perform anesthesia at the facility. The administrator provided a list that revealed 12 providers are credentialed at the facility to perform surgical services and three providers were credentialed at the facility to provided anesthesia services. Further review of the list revealed six of the surgical service providers were not PALS certified and performed surgical
    services at the facility from September 1, 2016 thru December 31, 2016. Continued review revealed two anesthesia providers were not PALS certified and provided anesthesia services.
  • The facility failed to provide provisions for the secure storage of sharps. The staff was putting used sharps in a red emergency bag. The red emergency bag that contained the needles and syringes was not stored in a secured area.
  • Pennsylvania Patient’s Bill of Rights states that a patient has the right to consideration of privacy concerning his/her own medical care program. Case discussion, consultation, examination, and treatment are considered confidential and shall be conducted discreetly. There were no curtains in the laminaria pre-operative area. There were four recliners and no privacy.
  • The administrator was not at the facility full time to oversee the day-to-day operations as required.
  • The facility failed to ensure a discharge summary including discharge diagnosis including a discharge diagnosis for Day One or Day Two of the “Two-Day Procedure”
  • Staff did not properly sterilize instruments that were being used from woman to woman
  • There was no documentation in patient’s record of the type of instrument used in the abortion to maintain a tracking system in the event of an infection
  • Overflow of fetal specimens and tissue that were removed at the time of abortion are stored in the non-refrigerated locked cabinet for regular pick up by the medical waste hauler.
Report 2016 Report 2017 Report 2017
DISCLAIMER: All of the inspection reports on this site were acquired through public records request to state departments of health and public records online.