Field Office Compliance - Field Activity - 48896


Mahaska County Hospital, Oskaloosa - 310202776
1229 C Avenue East Oskaloosa, IA 52577-4246
Mahaska County

FO 5

Activity Report
Document Name Type File Date Note
Mahaska County Hospital 198600260 7-30-2013.pdf
Inspection Report (public)
07/30/2013 2013 inspection/audit report
File Name File Type File Date Note
Comments
8/2/2013 From: Gastineau, Janet [DNR] Sent: Friday, August 02, 2013 11:45 AM To: 'lmclane@mahaskahealth.org' Subject: RE: 198600260 financial responsibility; Mahaska County Hospital The financial responsibility rules are attached. If you are self-insured then there still has to be a statement on record for each financial reporting year, as defined by the 12 month period for which financial statements used to support the financial test are prepared. The exact wording is contained in the rules. Please submit this statement by August 12, 2013. If you are using another mechanism, please provide documentation. Thank you. From: Gastineau, Janet [DNR] Sent: Wednesday, July 31, 2013 8:32 AM To: lmclane@mahaskahealth.org Cc: bjw@roundsassociates.com; Nelson, Paul [DNR] Subject: 198600260 financial responsibility; Mahaska County Hospital Our records indicate the tank insurance expired 6/30/2013. Please confirm renewal. JANET GASTINEAU
7/30/2013 From: Gastineau, Janet [DNR] Sent: Tuesday, July 30, 2013 3:18 PM To: 'lmclane@mahaskahealth.org' Subject: UST operator certification Thank you again for your help today. To complete the inspection, please send me a copy (electronic is fine) of Mr. Wheeler’s A/B certificate. I will send the PMMIC inspection and response form under a separate email. JANET GASTINEAU
7/30/2013 From: Gastineau, Janet [DNR] Sent: Tuesday, July 30, 2013 3:20 PM To: lmclane@mahaskahealth.org Subject: FW: Inspection Completion Notice (198600260) The inspection and response form are attached and ask for a response by 8/27/2013. There is a phone number on the response form if you decide to contact Rounds and Assoc/PMMIC about the compliance items their inspection noted. I suggest talking with Brian P. or Brian W. if you decide to call. JANET GASTINEAU
Compliance Tracking
Action Type Date Completed Date Comment Delete
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