Starting with the most cited deficiency first

C0301 — Records System
Deficiencies related to completion of patient medical records in accordance with the facility policies and procedures

C0241 — Governing Body
Deficiencies related to medical staff credentialing/privileging as required by bylaws and practitioners not functioning within their scope of privileges granted

C0276 — Policies
Drug Management Deficiencies related to acceptable drug distribution systems, outdated drugs available for use and maintaining current and accurate records for dispensing of drugs

C0221 — Construction
Deficiencies related to patient safety, including maintaining limited access to unsafe areas and dangerous chemicals, hot water temperatures in patient care areas

C0280 — Patient Care Policies
Deficiencies related to annual review of patient care polices by group of professional personnel

C0225 — Clean Facility
Deficiencies related to cleanliness and repair of facility

C0322 — Evaluations
Pre- & Post-Op Deficiencies related to completion of pre- and post-op evaluations and timely completion of evaluations

C0278 —  Policies
Infection Control Deficiencies related to infection control surveillance and reviewing all patients with nosocomial infections

C0283 — Radiology Services
Deficiencies related to unqualified/unlicensed staff performing services

C0306 — Records System
Deficiencies related to lack of physician orders for care and treatment