| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 670093 | (X3) Date Survey Completed 06/22/2021 |
| Name of Provider or Supplier Aspire Hospital | Street Address, City, State 2006 South Loop 336 West, Suite 500, Conroe, 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) |
| A0143 | PATIENT RIGHTS: PERSONAL PRIVACY CFR(s): 482.13(c)(1) The patient has the right to personal privacy. This STANDARD is not met as evidenced by: Based on observation, record review, and interview, the facility failed to ensure the personal privacy of patients by posting the full names of 2 of 4 patients (Patient #12 and Patient #13) on the "6/17/2021 Shower List" displayed on a window at the nurse's station. Findings included: Observation of the nurse's station on the adult psychiatric unit on 6/17/2021 at 11:00am showed the "6/17/2021 Shower List had been taped to a widow at the nurse's station. Review of the shower list showed the full names of 2 of 4 patients (Patient #12 and Patient #13). In an interview with Staff A (CNO) on 6/17/2021 at 11:00am, he stated that the full names of the patients should not be on display on this list at the nurse's station for the other patients to see. |