April 14, 2011 Re: # 4753 CCN: #360008 Program: Hospital Accreditation Expiration Date: April 14, 2014 Randal M. Arnett President and CEO Southern Ohio Medical Center 1805 27th Street Portsmouth, Ohio 45662 Dear Mr. Arnett: This letter confirms that your January 10, 2011 - January 13, 2011 unannounced full resurvey was conducted for the purposes of assessing compliance with the Medicare conditions for hospitals through The Joint Commission’s deemed status survey process. Based upon the submission of your evidence of standards compliance on March 28, 2011 and April 14, 2011, the areas of deficiency listed below have been removed. The Joint Commission is granting your organization an accreditation decision of Accredited with an effective date of January 14, 2011. We congratulate you on your effective resolution of these deficiencies. §482.13 Condition of Participation: Patient's Rights §482.23 Condition of Participation: Nursing Services §482.24 Condition of Participation: Medical Record Services §482.25 Condition of Participation: Pharmaceutical Services §482.26 Condition of Participation: Radiologic Services §482.41 Condition of Participation: Physical Environment §482.42 Condition of Participation: Infection Control §482.51 Condition of Participation: Surgical Services The Joint Commission is also recommending your organization for continued Medicare certification effective January 14, 2011. Please note that the Centers for Medicare and Medicaid Services (CMS) Regional Office (RO) makes the final determination regarding your Medicare participation and the effective date of participation in accordance with the regulations at 42 CFR 489.13. Your organization is encouraged to share a copy of this Medicare recommendation letter with your State Survey Agency. This recommendation also applies to the following location(s): Center for Occupational Medicine 1248 Kinneys Lane, Portsmouth, OH, 45662 Lucasville Rehab Center Route 23, Lucasville, OH, 45648 Michael E. Martin, M.D. 1735 - 27th Street, Portsmouth, OH, 45662 SOMC Anticoagulation Clinic 1248 Kinneys Lane, Portsmouth, OH, 45662 SOMC Ear, Nose & Throat Associates 1711 27th Street Braulin Suite 403, Portsmouth, OH, 45662 SOMC Heart and Vascular Associates 1711 27th Street Braulin Building Suite, Portsmouth, OH, 45662 SOMC Lucasville Primary Care 10 Thomas Hollow Road, Lucasville, OH, 45648 SOMC Minford Family Practice 8792 Stte Route 335, Minford, OH, 45653 SOMC Orthopedic Associates 1611 27th Street Fulton Suite 304, Portsmouth, OH, 45662 SOMC Physical Medicine and Rehabilitation 613 Center Street, Wheelersburg, OH, 45694 SOMC Physician Specialty Group 1735 27th Street, Bld. C Suite 102, Portsmouth, OH, 45662 SOMC Portsmouth Family Practice 1835 Oakland Ave, Portsmouth, OH, 45662 SOMC Psychiatry 1735 - 27th Street Building C, Suite 201, Portsmouth, OH, 45662 SOMc Pulmonary and Critical Care Associates 1735 27th Street Waller Suite 108, Portsmouth, OH, 45662 SOMC Rehabilitation Services 1248 Kinneys Lane, Portsmouth, OH, 45662 SOMC Sciotoville Family Practice 5611 Gallia Street, Portsmouth, OH, 45662 SOMC Sleep Lab 1745 27th Street, Portsmouth, OH, 45662 SOMC Surgical Associates 1711 27th Street Braulin Suite 402, Portsmouth, OH, 45662 SOMC Urgent Care 8770 Ohio River Road, Wheelersburg, OH, 45694 SOMC Urgent Care Center-Portsmouth 1248 Kinneys Lane, Portsmouth, OH, 45662 SOMC Vanceburg Family Practice and Specialty Associates 207 Plummers Lane, Vanceburg, KY, 41179 SOMC Wheelersburg Family Practice 613 Center Street, Wheelersburg, OH, 45694 SOMC Wheelersburg Rehab Services 613 Center Street, Wheelersburg, OH, 45694 SOMC Wound Healing Center 1745 27th Street, Portsmouth, OH, 45662 Southern Ohio Medical Center (Main Campus) 1805-27th Street, Portsmouth, OH, 45662 Southern Ohio Medical Center Cancer Center 1121 Kinneys Lane, Portsmouth, OH, 45662 We direct your attention to some important Joint Commission policies. First, your Medicare report is publicly accessible as required by the Joint Commission’s agreement with the Centers for Medicare and Medicaid Services. Second, Joint Commission policy requires that you inform us of any changes in the name or ownership of your organization, or health care services you provide. Sincerely, Ann Scott Blouin, RN, Ph.D. Executive Vice President Accreditation and Certification Operations cc: CMS/Central Office/Survey & Certification Group/Division of Acute Care Services CMS/Regional Office 5 /Survey and Certification Staff