• Facility failed to ensure an evaluation was conducted prior to administration of anesthesia.
  • Failure to ensure maximum recommended dose of Lidocaine was not exceeded when administering a paracervical block, for eight out of 10 records reviewed. Patients displayed effects of administering too much Lidocaine. (Repeated deficiency)
  • Facility failed to determine if patients received more than the maximum dose of Lidocaine 4.5 mg/kg.
  • Facility failed to ensure required emergency equipment was available in procedure rooms for resuscitation measures when abortions are performed. (Repeated deficiency)
  • Facility failed to ensure properly stocked crash carts were available for all procedure rooms where abortions were performed.
  • Failure to report “Infrastructure Failure” which was a serious compromise of patient safety
  • Failure to report a serious event that compromised patient safety to patient or patient family. Facility failed to report a patient’s confirmed uterine perforation and hemorrhage following a surgical abortion. Patient required additional medical intervention at a hospital emergency department. (Repeat deficiency)
  • Failure to document informed consent. (Repeated deficiencies)
  • Failure to perform background checks on employees. (Repeat deficiencies)
  • Failure to properly store medications. Failure to store medications at proper temperatures. Refrigerator logs confirmed medications were continually stored outside temperature limits noted by manufacturer.
  • Unlicensed/unqualified/untrained staff providing patient care.
  • Failure to train staff on the facility Patient Safety Plan
  • Failure to adopt written policies and procedures for preventing the transmission of tuberculosis.
  • No guidance for correct dosing and administration of emergency medications for pediatric patients requiring emergency treatment at the facility.
  • Failed to document preoperative procedures informing patient that admission to a hospital may be necessary in the event of a medical need.
  • Operating practitioner failed to immediately write or dictate post operative notes for documentation.
  • Facility failed to have a RN in a position of Director of Nurses to supervise, be responsible and or accountable for the nursing service.
  • Failure to document disposal of out of date medications. No policy in place for disposal of expired medications. Multiple expired medications found in facility.
  • No discharge documentation found for all records reviewed. No discharge summary or diagnosis included.
  • Facility failed to provide a functional and sanitary environment for provision of surgical supplies.
  • Failure to properly separate clean and soiled linens and scrubs.
  • Failure to wash linens and scrubs at a temperature necessary to sanitize, therefore failure to properly sanitize linens and scrubs.
  • Failure to properly maintain facility.
  • Failure to monitor temperature, humidity, and ventilation in procedure rooms and recovery rooms.
  • Failure to ensure a facility safety and fire plan including evacuation of patients and records.
  • Failure to instruct employees on fire safety systems.
  • Failure to ensure general safety precautions. No call bells in patient restrooms.
  • Failure to comply with building standards.
Report 2012 Report 2016 Report 2017 Report 2017 Report 2017 Report 2018
DISCLAIMER: All of the inspection reports on this site were acquired through public records request to state departments of health and public records online.