S&C QCOR EMTALA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
EMTALA 2567sPlease see here for information and guidance related to the Emergency Medical Treatment & Labor Act (EMTALA).
Selection Criteria

Time Interval

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Provider Characteristics

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Survey Results

Use these filters if you want to limit the report to providers that were cited for specific EMTALA deficiency tag citations. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

Facility Name or CCN

Use these filters if you know the name (or partial name) of the facility you are searching for, or the CMS Certification Number (CCN) for the facility you are searching for.

CMS Certification Number Facility Name Hospital Subtype Address City State Date of CMS Survey Survey Event ID Survey Type Deficiency Tags Deficiency Descriptions Statement of Deficiencies Report
150173 Indiana University Health Arnett Hospital Short Term 5165 Mccarty Ln Lafayette IN 02/06/2023 E5QK11 Complaint A2400, A2406 Compliance With 489.24; Medical Screening Exam
Deficiency Tag Deficiency Description Tag Type
A2400 COMPLIANCE WITH 489.24 Standard
A2406 MEDICAL SCREENING EXAM Standard
150176 Kentuckiana Medical Center Llc Short Term 4601 Medical Plaza Way Clarksville IN 08/27/2015 1MUT11 Complaint A2400, A2406, A2409 Appropriate Transfer; Compliance With 489.24; Medical Screening Exam
Deficiency Tag Deficiency Description Tag Type
A2400 COMPLIANCE WITH 489.24 Standard
A2406 MEDICAL SCREENING EXAM Standard
A2409 APPROPRIATE TRANSFER Standard
150176 Kentuckiana Medical Center Llc Short Term 4601 Medical Plaza Way Clarksville IN 09/22/2016 3IPQ11 Complaint A2400, A2406 Compliance With 489.24; Medical Screening Exam
Deficiency Tag Deficiency Description Tag Type
A2400 COMPLIANCE WITH 489.24 Standard
A2406 MEDICAL SCREENING EXAM Standard
150183 Monroe Hospital Short Term 4011 S Monroe Medical Park Blvd Bloomington IN 12/17/2021 TK9K11 Complaint A2400, A2405, A2406 Compliance With 489.24; Emergency Room Log; Medical Screening Exam
Deficiency Tag Deficiency Description Tag Type
A2400 COMPLIANCE WITH 489.24 Standard
A2405 EMERGENCY ROOM LOG Standard
A2406 MEDICAL SCREENING EXAM Standard
150183 Monroe Hospital Short Term 4011 S Monroe Medical Park Blvd Bloomington IN 12/04/2024 8I7U11 Complaint A2400, A2406, A2409 Appropriate Transfer; Compliance With 489.24; Medical Screening Exam
Deficiency Tag Deficiency Description Tag Type
A2400 COMPLIANCE WITH 489.24 Standard
A2406 MEDICAL SCREENING EXAM Standard
A2409 APPROPRIATE TRANSFER Standard
151302 Indiana University Health Blackford Hospital Critical Access Hospitals 410 Pilgrim Blvd Hartford City IN 09/26/2017 J6PN11 Complaint C2400, C2406 Compliance With 489.24; Medical Screening Exam
Deficiency Tag Deficiency Description Tag Type
C2400 COMPLIANCE WITH 489.24 Standard
C2406 MEDICAL SCREENING EXAM Standard
151303 Ascension St Vincent Jennings Critical Access Hospitals 301 Henry St North Vernon IN 09/07/2010 MSBE11 Complaint C2400, C2405, C2406 Compliance With 489.24; Emergency Room Log; Medical Screening Exam
Deficiency Tag Deficiency Description Tag Type
C2400 COMPLIANCE WITH 489.24 Standard
C2405 EMERGENCY ROOM LOG Standard
C2406 MEDICAL SCREENING EXAM Standard
151303 Ascension St Vincent Jennings Critical Access Hospitals 301 Henry St North Vernon IN 03/07/2011 UUPR11 Complaint C2400, C2409 Appropriate Transfer; Compliance With 489.24
Deficiency Tag Deficiency Description Tag Type
C2400 COMPLIANCE WITH 489.24 Standard
C2409 APPROPRIATE TRANSFER Standard
151303 Ascension St Vincent Jennings Critical Access Hospitals 301 Henry St North Vernon IN 06/16/2021 8OEQ11 Complaint C2400, C2405, C2406 Compliance With 489.24; Emergency Room Log; Medical Screening Exam
Deficiency Tag Deficiency Description Tag Type
C2400 COMPLIANCE WITH 489.24 Standard
C2405 EMERGENCY ROOM LOG Standard
C2406 MEDICAL SCREENING EXAM Standard
151305 Pulaski Memorial Hospital Critical Access Hospitals 616 E 13th St Winamac IN 01/08/2025 22FD11 Complaint C2400, C2406 Compliance With 489.24; Medical Screening Exam
Deficiency Tag Deficiency Description Tag Type
C2400 COMPLIANCE WITH 489.24 Standard
C2406 MEDICAL SCREENING EXAM Standard