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 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)
A0385 NURSING SERVICES
CFR(s): 482.23

The hospital must have an organized nursing service that provides 24-hour nursing services. The nursing services must be furnished or supervised by a registered nurse.


This CONDITION is not met as evidenced by:
Based on review and interview the facility failed to ensure: 1. adequate staffing levels to ensure patient and staff safety. see Tag A0392 2. to provide a interdisciplinary treatment plan for 2 (Patient #26 and 29) out of 3 (patient #1, #26 and #29) charts reviewed. See Tag A0396