| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 010001 | (X3) Date Survey Completed 09/29/2017 |
| 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) |
| A0116 | PATIENT RIGHTS: NOTICE OF RIGHTS CFR(s): 482.13(a) Patients' Rights: Notice of Rights This STANDARD is not met as evidenced by: Based on observation, medical record (MR) review, and interviews, it was determined the facility failed to provide a copy of the Patient's Rights on admission to the Heart and Vascular Unit. This affected 11 of 11 patients in the unit on 9/27/17, and has the potential to affect all patients served by the facility. Findings include: During a tour and review of medical records on 9/27/17 at 2:45 PM, on the Heart and Vascular Unit, revealed there was no documentation in the medical record of Patient's Rights notification. The surveyors requested a copy of the Patient's Rights provided to patients on admission. No one on the unit was able to provide a copy. An interview on 9/27/17 at 3:00 PM with Employee Identifier (EI) # 27, Registered Nurse, Clinical Director, confirmed there was no documentation in the MRs. An interview was then conducted with EI # 28, Registration Representative, who stated, "I know they are working on something to give patients," but confirmed they currently do not. |