According to a release from the Retreat, deficiencies include conditions related to patient's rights, quality assessment and performance improvement programs and compliance with federal, state and local laws.
The psychiatric hospital must now submit to an unannounced survey and provide a plan to state to continue receiving federal funding.
Last year, the psychiatric hospital faced a similar predicament following an investigation in January, after a patient's death, and June survey which unveiled two additional violations.
"I am optimistic that we will correct these deficiencies just as we have in the past," Retreat President and CEO Dr. Rob Simpson stated in a release. "Our growth as a hospital has been accompanied by a process of continuous learning, problem solving, creativity and innovation that the Joint Commission noted and complimented us on in their recent accreditation survey. We must, nonetheless, remain vigilant and focused on excellence in our clinical practice at all levels of the organization."
Simpson also stated that, over the next several weeks, the Retreat would be developing processes to specifically address the three deficiencies and would be working directly with all inpatient staff to implement a plan of correction.
Last year's coverage: Retreat submits plan for Medicare fix