In 2019, an ambulance was called due to a 24-year old woman who was experiencing heavy bleeding. The abortion facility caller, also requested that the ambulance run without lights and sirens, which would delay response time and put the woman’s life even further at risk.

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Seven documented ambulances have been called to this facility.

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This chain of abortion facilities is responsible for the death of Keisha Atkins. 

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An inspection in November 2015 resulted in 22-pages of egregious violations that primarily dealt with a litany of sanitation and infection control problems, including failure to properly sanitize surgical instruments or keep the facility clean.

In 2015, the abortion facility had been fined $500 for failure to established and implement policies and procedures to assure the orderly and efficient management of the ambulatory surgical center and failure provide proper training for staff.

This facility failed to perform quarterly peer review and supervision of all professional activities.

• The clinic had no job descriptions which included qualifications for all personnel providing direct or indirect patient care. 5 of 6 employee files had no job description in their file.
• Staff was not CPR certified.
• Physician did not provide the patients with the name and phone number of the closest hospital. The phone number provided in case of emergencies was for a staff member who lives and works in Houston who does not have access to the patient’s medical record information.
• The staff was using adulterated medications. They had split 2 mg Ativan tablets using a pill cutter and put the fragments in a bottle labeled as 1 mg Ativan. The pieces were different shapes and sizes and did not represent uniform halves and could not be guaranteed to measure as 1 mg of the medication.
• The ultrasound machine, pulse oximeter, suction machine, and other equipment had not been inspected.
• The facility failed to post signs stating that it is illegal for a person, even an individual’s parents, to force a person to have an abortion. These signs are required by law.

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A 2015 health inspection report documented the following deficiencies:

• Facility failed to ensure physician was performing exams on patients prior to their abortions. There was no documentation to prove exams were being done before abortions as required by law.
• Facility failed to evaluate patients after abortion to determine readiness for discharge. There was no documentation to prove evidence of evaluation of patient by a physician or advance practice registered nurse before dismissal after a procedure.
• Failure to ensure a safe and sanitary environment for surgical patients.
  • The sink located in the main waiting room was observed to have “a large circle of a dark brown dried substance”.
  • The emergency call light in the restroom was rendered out of reach and ineffective for a patient experiencing a fall on the floor to summon help in an emergency.
  • Patients’ bags were stored on a bench in front of the commode or in a shipping box on the floor of the pre-op bathroom.
  • There were large brown water stains in the post-op bathroom.
  • Patients’ snack foods were stored in cardboard boxes on the floor and some containers were directly on the floor.
  • Cabinet where sterile instruments were wrapped was cracked and peeling and had shipping containers stored where sterile instruments were wrapped causing likely contamination and infection.
  • Cardboard boxes filled with biohazard sharps containers were stored on the floor next to open sterile patient supplies.
  • Trash, dust, and debris were found on the floor of the storage area where sterile patient supplies were stored.
  • A mop bucket with dirty brown water was found in the janitor’s closet. There was no shelving so all cleaning supplies and equipment were stored directly on the floor.
  • Clean linens were found stored directly on the floor. Staff was observed reaching into dirty linens without personal protective equipment.
  • Staff failed to wear proper surgical attire in OR.
• Facility failed to monitor temperature and humidity where surgical instruments were stored increasing the fire hazard and microbial growth where sterile instruments were stored.
• Facility’s personnel failed to maintain the sterility of surgical instruments and improperly stored sterile instruments increasing potential contamination.
• Failed to document Hep B status for employees.
• Failure to maintain emergency equipment. Oxygen tank had no gauge. Vital signs machine was out of date for inspection and preventative maintenance. Two suction machines were found with no preventative maintenance.
• Failure to comply with building standards. Biohazard waste storage room had an unsealed cement floor. This had the likelihood for blood and bodily fluids to leak from the biohazard bags to the unsealed cement floor making it difficult to clean and an infection risk to personnel entering the room.
• Failure to properly store and secure medications. Two cases of lidocaine were found unsecured in an unlocked storage area.

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