South Dakota hospital set to lose Medicare funding over EMTALA violations

CMS has identified deficiencies at Indian Health Service Sioux San Hospital in Rapid City, S.D., which constitute an "immediate and serious threat" to the health and safety of patients.

During a survey of Sioux San Hospital May 9-12, CMS discovered the hospital was not in compliance with the Emergency Medical Treatment and Active Labor Act. Based on medical record review and interviews with patients, patient representatives and hospital staff, CMS determined the hospital failed to provide timely medical screening examinations that were sufficient to determine whether emergency medical conditions existed for nine of 32 patients who came to the ED for care.

In a May 23 letter, CMS warned Sioux San Hospital that its Medicare contract will be terminated June 15. To have the "immediate jeopardy" status removed, the hospital must submit a plan for correction by May 28, and CMS must revisit the facility prior to the proposedtermination date. "Termination can only be averted by corrections of these violations by June 15, 2016," said CMS in its letter to the hospital.

The Indian Health Service said it will establish a corrective action plan by May 28 to allow CMS to determine compliance.  

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