Department of Health & Human Services

Centers for Medicare & Medicaid Services
Form Approved

OMB No. 0938-0391

Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number 670069 (X3) Date Survey Completed 10/11/2023
Name of Provider or Supplier Methodist Mckinney Hospital Street Address, City, State 8000 W Eldorado Pkwy Bldg C Suite C, Mckinney, 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)
A0000 An on-site unannounced EMTALA complaint survey was conducted beginning on the morning of October 10, 2023. An entrance conference was held in a conference room with Methodist McKinney Hospital's administrative staff members on October 10, 2023, at 10:30 AM. A survey investigation was conducted to determine the hospital's compliance with the Medicare Conditions of Participation set forth at 42 CFR Part 482 using the applicable survey report form. It was explained that the complaint survey would be conducted according to 42 CFR 489.24 and 42 CFR 489.20 (l), (m), (q), and (r) of the Emergency Medical Treatment and Labor Act, and section 5400, appendix V of the State Operations Manual. . 10/11/2023: EMTALA Complaint TX00469607 will be referred to CMS Regional Office for final compliance determination. . An exit conference was held with Methodist McKinney Hospital's administrative staff members at 10:30 AM and they were informed that CMS would make the final determination for complaint TX00469607. .