BONHAM — Officials with the Centers for Medicare & Medicaid Services have announced it will terminate its Medicare provider agreement with the Red River Regional Hospital in Bonham on Oct. 9. The decision comes after a in-person survey on Sept. 8 found "deficiencies that represent an immediate jeopardy to patient health and safety" according to documents obtained from the CMS.

BONHAM — Officials with the Centers for Medicare & Medicaid Services have announced it will terminate its Medicare provider agreement with the Red River Regional Hospital in Bonham on Oct. 9. The decision comes after a in-person survey on Sept. 8 found "deficiencies that represent an immediate jeopardy to patient health and safety" according to documents obtained from the CMS.


Among the findings in the September survey a claim that the hospital failed to ensure a patient in need of emergency medical treatment received adequate assessments and interventions before being discharged from the emergency department. The patient initially visited the hospital on Aug. 20, and returned to the hospital on Aug. 23. The patient died in the early hours of Aug. 24.


"The facility failed to ensure that physicians and nursing staff provided thorough assessments, timely interventions and medical care after a change in the patient’s condition resulting in the patient’s death," said the report, which went on to cite four additional cases where the hospital failed to provide adequate service to patients.


The report states that the hospital presented a plan and was taking steps to investigate the problems on Sept. 9, but the plan had not been fully implemented.


The report comes a few months after another survey conducted on May 30 found numerous problems at the facility. The May report cites problems ranging from medical gas canisters being improperly chained and stored, to problems with staffing guidelines.


After reviewing the daily staffing schedules from Apr. 1 through May 22, the report states that there was no documented house supervisor from 7 a.m. to 7 p.m. for 13 out of 52 shifts. From 7 p.m. to 7 a.m. there was no documented house supervisor for 38 out of 52 shifts.


In both reports, the hospital lists plans to remedy each of the problems cited by CMS. Red River Regional Hospital CEO


David Conejo said he plans to meet Wednesday with representatives from CMS and present a response to the latest report and the termination of the Medicare agreement.


"We are hoping to show to them that we are in compliance and continue to be in compliance," said Conejo who added he will be presenting evidence of compliance to the CMS. "We want to demonstrate that we have taken great measure to ensure compliance."


In the event that the termination order continues, Conejo said the hospital would begin to evaluate its options, which include appealing the decision or requesting a restraining order against it while the hospital provides further evidence of compliance.


"Beyond that, it would mean we would not have Medicaid and Medicare funding, which would put a severe constraint on the hospital," he said.


Just prior to the CMS survey in May, the hospital received certification with DNV Healthcare, a provider of hospital accreditation which uses similar standards as CMS, said Conejo.


"We hope to correct any difficulty that has arisen from the difference in those surveys," he said.