| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 670067 | (X3) Date Survey Completed 04/24/2013 |
| Name of Provider or Supplier Baylor Scott And White Orthopedic And Spine Hospi | Street Address, City, State 707 Highlander Blvd, Arlington, 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) survey was conducted on site on 04/24/2013. An entrance conference was held for the hospital ' s administrator and plant engineer on the morning of 04/24/2013 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 04/24/2013 in the hospital. In attendance were the hospital ' s administrator and plant engineer. 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. |