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)
A0457 VERBAL ORDERS AUTHENTICATED BASED ON LAW
CFR(s): 482.24(c)(1)(iii)

All verbal orders must be authenticated based upon Federal and State law. If there is no State law that designates a specific timeframe for the authentication of verbal orders, verbal orders must be authenticated within 48 hours.


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 all telephone and/or verbal orders were signed by the physician within 48 hours. Findings were; Based on review of the medical record for patient #1, there were 19 verbal/telephone orders; of these 12 of 19 failed to be signed within 48 hours of the order. No reason for the delay was offered. The above findings were confirmed in inter view with the Nursing Director and administrator in the conference room on 3/28/11.