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)
A0407 USE OF VERBAL ORDERS
CFR(s): 482.23(c)(2)(i)

If verbal orders are used, they are to be used infrequently.


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 verbal and/or telephone orders were used infrequently. Findings were; A review of the clinical record for patient #1 revealed that of 21 physician orders, 19 of 21 orders were telephone and/or verbal orders. Only two orders were written by the physician. Therefore 19 of 21 orders does not reflect that verbal and/or telephone orders were used infrequently. The above findings were confirmed in inter view with the Nursing Director and administrator in the conference room on 3/28/11.