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 670070 (X3) Date Survey Completed 03/28/2011
Name of Provider or Supplier Texas Specialty Hospital At Lubbock Street Address, City, State 4302 B Princton Street, Lubbock, 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)
A0397 PATIENT CARE ASSIGMENTS
CFR(s): 482.23(b)(5)

A registered nurse must assign the nursing care of each patient to other nursing personnel in accordance with the patient's needs and the specialized qualifications and competence of the nursing staff available.


This STANDARD is not met as evidenced by:
Based on review of the clinical record of patient #1 and interview with staff, the hospital failed to ensure that the nurse assigned care of this patient was competent in their duties. FIndings were; Clinical record review of patient #1 revealed this patient was documented by nursing staff as "confused" and by the physician as "has the impulsiveness of a 3 year old". This patient was dropped off for the cardiology appointment alone. There was no one to advocate for the patient at the appointment. There was no assurance of the patient's safety while alone. In addition The patient had on a T-shirt, two hospital gowns and sweatpants with a blanket on his lap. There was no mention of shoes or socks in the record. In February the weather is quite cold in the panhandle of Texas, The above findings wer confirmed in inter view with the Nursing Director and administrator in the conference room on 3/28/11.