When a center closes but we only had a few reviews for it, we delete it from our listings. When there were substantial problems, we offer it on the page for the type of problem. This means that one center can be on more than one page.
See the full list on our Closed Centers page.
Listings are in alphabetical order by state and then city.
Alabama: Mobile
Health Department Documents:
Highlights:
Clinic Conditions
Some of the medications that were supposed to be available for emergencies were missing. The Emergency Kit wasn’t secured.
Expired medications were used on patients.
The clinic failed to conduct preventative maintenance on medical equipment.
Staff failed to inspect all four fire extinguishers on a monthly basis.
Staff
Doctors and workers were observed failing to wash their hands after conducting medical tasks and before handling sterile instruments.
The medical director didn’t observe, monitor, or document the clinical skills of any of the clinic’s four doctors.
Medical Records and Labels
The clinic failed to document post-surgical pathology results. Any material left after surgery can cause severe infection.
Many records were incomplete, including documentation regarding ultrasounds and anesthesia.
The nurse failed to document what medications were given, or neglected to document the times they were given.
Incidents
On March 3, 2011, a patient who’d been given medication at the clinic called to report “severe cramping and uncontrollable bleeding.” The incident wasn’t documented, with no record of instructions given to the woman or any follow-up phone calls to monitor her condition.
Clinic staff failed to report the possible sexual abuse of a minor. A 14-year-old girl with two living children came in for an abortion on April 12, 2014, then came in for a second abortion on November 18, 2014. Although this minor had been pregnant four times in a short period of time, no report was filed.
In one patient’s case, a pathology examination revealed no tissue was obtained. The facility didn’t notify the patient, who went to see a doctor because of abdominal pain, without the needed information.
One patient was given medication even though tests showed her hemoglobin level was under 10, indicating anemia. This put her at risk of complications.
Twelve patients weren’t given the name of the doctor who did surgery on them and didn’t have the needed contact information in case of complications.
Pennsylvania: Warminster
Clinic Conditions
The facility improperly stored sterile surgical supplies and kept them in an unsanitary manner. There were no temperature, humidity, or ventilation monitors observed in this area where sterile wrapped packages were stored.
The facility failed to store clean scrubs to minimize contamination from surface contact.
Soiled and dirty linens were stored with clean ones.
Soiled linens weren’t washed at a high enough temperature to kill microbes and prevent infections.
There were no policies to conduct routine preventative maintenance on equipment.
The facility failed to monitor temperature and humidity in its operating rooms or the recovery room.
There were no call bells or intercom systems in the operating room or in patient bathrooms, interfering with summoning help in an emergency. A bathroom door also opened inward, possibly preventing access in an emergency.
There were no cubicle curtains for privacy in the recovery room.
The soiled work area and the clean work area weren’t physically separated.
There were no scrub sinks located outside of the operating rooms. The sinks inside the procedure rooms were not hands-free.
The facility failed to ensure all required emergency equipment was available in two of the procedure rooms for resuscitation measures when surgery was performed. Emergency supplies were missing from the crash cart.
In a subsequent inspection, it was found that staff failed to check the crash cart regularly to make sure it contained the proper emergency supplies.
Staff
The facility failed to conduct background checks on its employees.
The facility failed to have a Director of Nursing who was responsible and accountable to the person in charge of the facility.
Half of the employees weren’t trained in the operation of the fire warning system, the proper use of firefighting equipment, and the procedure to follow if the electric power was impaired.
Two of the staff did not have hepatitis B vaccines. The facility was required to offer the shot to any worker who had contact with blood or bodily fluids. There was no indication that the shots were offered, but both the staff members had requested them.
Medical Records and Labels
The facility failed to ensure the post-operative surgical reports were written or dictated immediately after the procedure by the operating practitioner for 20 of 20 medical records reviewed.
The facility didn’t have discharge summaries for patients in any of the medical records examined by inspectors.
The facility failed to record the dosage of lidocaine given to a patient for a paracervical block or the name of the doctor who administered it.
Incidents
Staff at the facility perforated a woman’s uterus and failed to report the injury to the Board of Health. They also failed to notify the woman of the complication in writing. The inspection report defined the perforated uterus as a “serious event,” meaning “an event, occurrence or situation involving the clinical care of a client [that] … compromises client safety and results in an unanticipated injury requiring the delivery of additional health services to the client.” The patient suffered “minimal pelvic hemorrhage” and needed further medical care.
A physician failed to weigh a patient before administering the drug lidocaine. The proper dosage of the drug is dependent on the weight of an individual, so not having this information puts the patient at risk of getting an incorrect, potentially dangerous, dose.
Staff failed to obtain parental consent before surgery on a minor, as required by law.
Treatment of Patients
The facility had untrained, unlicensed staff monitoring women in the recovery room after their surgery. They were monitoring patients’ blood pressure but weren’t qualified or trained to do so.
In all cases, the staff failed to inform women that they might need to visit a hospital in the event of an emergency.
The only guidance on dosages of drugs to give in an emergency was for adult patients. This meant that a minor having a medical emergency might not receive the right dose of emergency medications.
The facility failed to do a proper physical evaluation on any of its patients before doing surgery and/or administering anesthesia on them.
The facility was using expired medications and had no policy to dispose of them.
The facility failed to ensure the maximum recommended dose of Lidocaine (an anesthetic) was not exceeded when administered as a paracervical block in 8 out of 10 cases. The facility always gave the same dose of lidocaine, despite the patient’s weight and/or medical condition.
Other
The clinic’s policy concerning minors “did not meet the criteria of the Child Protective Services Law.”
The facility had no policies in place for the evacuation of patients or patient records in case of a fire or other emergency.
The facility failed to keep up-to-date records of controlled substances.
Houston
Prevention Park
Health Violation Documents:
TX Houston 2020 (entirely redacted)
Clinic Conditions
The biological indicator used on the autoclave wasn’t properly tested. The autoclave was used to sterilize instruments. Inspectors determined that the biological indicator tests being conducted weren’t valid.
Medical equipment in the operating room was covered with rust and couldn’t be disinfected.
Packages of dilators marked as sterile had dime-sized brown spots on them. When questioned about the stains, a staff member admitted that the instruments weren’t sterile and shouldn’t have been labeled as such or stored with the sterile instruments.
Instruments were improperly sterilized. Instruments were improperly packaged, preventing them from being properly sterilized.
Staff
The doctor was operating on women without washing his hands. Staff members failed to wash their hands after handling dirty instruments.
When a doctor was observed not washing her hands after surgery, she told inspectors, “Yes, I should do that, but because maybe sometimes if people are watching you, it’s kind of overwhelming.”
Staff didn’t have training on how to properly sterilize instruments. Three of the staff working in sterile processing had no documentation of training or competency.
Staff didn’t properly measure the amount of detergent per water used to clean instruments.
None of the nurses administering sedation were officially trained to do so or had documentation of competency to do so. The Director of Nurses claimed that nurses administering sedation learned on the job, by observing others in a mentorship-type situation, but none of the employees administering sedation were formally trained.
Treatment of Patients
Contaminated, unsterile instruments were used in surgery.
Staff didn’t clean the IV port prior to injecting medications into women