| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 013424 | (X3) Date Survey Completed 01/05/2018 |
| Name of Provider or Supplier Regional Medical Center Clinics | Street Address, City, State 125 Church Street, Georgiana, AL | |
| 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) |
| J0023 | MAINTENANCE CFR(s): 491.6(b)(2) Drugs and biologicals are appropriately stored; and This STANDARD is not met as evidenced by: No deficiency details available. |
| J0070 | RECORDS SYSTEM CFR(s): 491.10(a)(3) For each patient receiving health care services, the clinic ... maintains a record that includes, as applicable: (i) Identification and social data, evidence of consent forms, pertinent medical history, assessment of the health status and health care needs of the patient, and a brief summary of the episode, disposition, and instructions to the patient; (ii) Reports of physical examinations, diagnostic and laboratory test results, and consultative findings; (iii) All physician's orders, reports of treatments and medications and other pertinent information necessary to monitor the patient's progress; (iv) Signatures of the physician or other health care professional. This STANDARD is not met as evidenced by: No deficiency details available. |