| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 670031 | (X3) Date Survey Completed 01/12/2012 |
| Name of Provider or Supplier St Luke's Patients Medical Center | Street Address, City, State 4600 East Sam Houston Parkway South, Pasadena, TX | |
| 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) |
| K0000 | This STANDARD is not met as evidenced by: A life safety code (LSC) resurvey was conducted on site on 01/12/2012. An entrance conference was held for the hospital ' s administrator and director, plant operations on the morning of 01/12/2012 to discuss the purpose of the LSC survey and the survey process were explained. Instructions were provided on writing plans of correction. An opportunity was provided for questions and discussion. The LSC survey was conducted under the authority of Chapter 2 of the State Operations Manual, Appendix A, Acute Care Hospitals, 42CFR482 to determine the Hospital ' s compliance. An LSC exit conference was conducted on 01/12/2012 in the hospital. In attendance were the hospital ' s administrator and director of plant operations. The preliminary findings of the survey and the next steps in the survey process were explained. An opportunity was provided for questions and discussion. Note: The CMS-2567 (Statement of Deficiencies) is an official, legal document. All information must remain unchanged except for entering the plan of correction, correction dates, and the signature space. Any discrepancy in the original deficiency citation(s) will be reported to the Dallas Regional Office (RO) for referral to the Office of the Inspector General (OIG) for possible fraud. If information is inadvertently changed by the provider/supplier, the State Survey Agency (SA) should be notified immediately. |