| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 670093 | (X3) Date Survey Completed 05/11/2023 |
| 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) |
| A0353 | MEDICAL STAFF BYLAWS CFR(s): 482.22(c) The medical staff must adopt and enforce bylaws to carry out its responsibilities. The bylaws must: This STANDARD is not met as evidenced by: Based on interview the facility failed to provide medical staff bylaws. An interview was conducted with staff #4 on 5/9/23. Staff #4 was asked 2 times on 5/8/23 to provide the surveyor with medical staff bylaws. On 5/9/23 staff #4 stated he did have medical staff by laws and would provide them for the surveyor. Staff #4 was unable to provide the bylaws. On 5/10/23 staff #4 was asked if the facility had medical staff bylaws and why would he not provide the bylaws. Staff #4 reassured the surveyor he would provide the bylaws. The facility failed to provide any medical staff bylaws after 5 requests. |