More health-facility-reported incident information for consumers

By law, all health care facilities must report the following incidents to us within one business day. There are exceptions for Nursing Facilities (24-hour reporting with certain events):
  • Unexplained deaths.
  • Brain injuries.
  • Spinal cord injuries.
  • Life-threatening complications of anesthesia.
  • Life-threatening transfusion errors/reactions.
  • Severe burns.
  • Missing persons.
  • Physical abuse.
  • Verbal abuse.
  • Sexual abuse.
  • Neglect.
  • Misappropriation of property.
  • Diverted drugs.
  • Malfunction/misuse of equipment.
What we do when a facility submits a report
  • Investigate the occurrence and determine if the facility took appropriate action.
  • Write a summary of the occurrence, not including names of the people involved, for public viewing.
  • Cite a deficiency if state or federal regulations were violated.
Other ways we use reports
  • Review before conducting annual surveys (inspections) of facilities.
  • Review before reissuing a facility's license.
  • Possibly review as part of a complaint investigation.
Considering occurrence reports when comparing facilities
  • Facilities with a higher number of reported occurrences may be doing a better job of reporting.
  • Also consider a facility's:
    • Occurrence history
    • Responses to certain types of events.
    • Size.
    • Complexity of health care needs of its patients.