| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 010001 | (X3) Date Survey Completed 08/24/2017 |
| Name of Provider or Supplier Southeast Health Medical Center | Street Address, City, State 1108 Ross Clark Circle, Dothan, AL | |
| For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency. | ||
| (X4) ID Prefix Tag | Summary Statement of Deficiencies
(Each deficiency should be preceded by full regulatory or LSC identifying information) |
| A0385 | NURSING SERVICES CFR(s): 482.23 The hospital must have an organized nursing service that provides 24-hour nursing services. The nursing services must be furnished or supervised by a registered nurse. This CONDITION is not met as evidenced by: Based on review of facility policies, medical records, security video footage, Root Cause Analysis (RCA), Unit Profile reports, interviews and the Facility's Corrective Action Plan submitted to the surveyors on 8/24/17, it was determined the facility failed to ensure: 1. The Behavioral Medicine Unit (BMU) (2 North and 3 North) was staffed according to their budgeted target hours, which increased the patient work load for licensed, unlicensed and clerical staff caring for those patients. 2. The Registered Nurse (RN) supervised the care provided by the Mental Health Technicians (MHT) to ensure patient observations were conducted every 15 minutes according to physician orders. 3. A treatment plan was implemented and updated for a suicidal patient according to the facility policy. This affected 3 of 3 medical records reviewed, including Patient Identifier (PI) # 1, PI # 2, PI # 3 and has the potential to negatively affect all patients admitted the the facility's BMU. Findings include: Refer to A392, A395 and A396 for findings. |