New Documents: Planned Parenthood’s Sanitation Issues & Unacceptable Complication Plan Cause of Multiple Denials of Abortion Facility License

By Cheryl Sullenger

Springfield, MO – New documents have been obtained by Operation Rescue that reveal more about why the Missouri Department of Health and Senior Services (DHSS) denied the non-compliant Planned Parenthood office in Springfield an abortion facility license.

Now it appears that the situation at Springfield Planned Parenthood is actually worse than was originally reported, and that due to numerous violations of licensing regulations, the DHSS has actually declined to issue an abortion license this facility three times.

“The Springfield office is run by the same people that run the St. Louis Planned Parenthood, which is considered the most dangerous abortion facility in the nation. It would be appalling to allow these incompetent people to run another abortion facility,” said Troy Newman, President of Operation Rescue. “The serious health and safety issues at the Springfield Planned Parenthood, and the fact that none of the three abortionists listed on Planned Parenthood’s complication plan live in the Springfield vicinity, clearly supports the repeated Department of Health denials for an abortion facility license.”

It began last year when Planned Parenthood of the St. Louis Region and Southwest Missouri, which operates the trouble-prone Reproductive Health Services abortion facility in St. Louis, announced plans to expand medication abortion services into their existing centers in Springfield and Joplin.

A letter dated October 12, 2017, was issued by the DHSS to Janice Thomas, Vice President of Patient Services & Research, at the St. Louis Reproductive Health Services of Planned Parenthood. That letter referenced an initial licensing inspection that took place on October 10-11, 2017, wherein 14 citations were issued for violations of six licensing regulations.

The DHSS letter stated, “The initial survey could not be completed as the facility was not fully ready to provide all patient care services in full compliance with all state regulations.”

Some of the deficiencies cited include:

• Improper medication storage that risked cross-contamination.
• Expired urine test strips.
• Rusty examination table in the ultrasound room that was missing laminate at the front of the table, exposing pressed board, which is an uncleanable surface.
• Improper decontamination of vaginal ultrasound probes, which were rinsed in the hand-washing sink and placed in disinfectant in an instrument soaking contained next to the hand-washing sink. The probes should have been placed in a bag and transported to the soiled utility room for proper decontamination.
• Lack of recent infection control training for two employees.
• Failure to conduct criminal background checks on half the facility’s employees.
• Sloppy and incomplete record-keeping on the credentials of all three physicians.
• Failure to have available required emergency equipment such as a suction machine and endotracheal equipment to ensure clear airways.

“Please respond in writing providing evidence/documentation that each of these items has been fully addresses/corrected. Only upon successful completion of the revisit process an ASC license can be issued,” the DHSS letter concluded.

A second letter from the DHSS to Planned Parenthood’s Thomas, dated December 21, 2017, reiterated the deficiencies found during the October 10-11, 2017, inspection and noted that no plan of correction had been received.

In addition, that letter informed Planned Parenthood that a new emergency rule regarding complication plans for “certain drug and chemically induced abortions via abortion facilities” had been enacted as of November 3, 2017. The Springfield Planned Parenthood was also not in compliance with that new rule.

“To date, your facility has not submitted a proposed Correction Plan. Since the facility’s plan is to perform only medication abortions for the time being, until your facility becomes compliant with that rule, the facility cannot be licensed as an abortion facility,” the DHSS letter stated.

Finally, on March 29, 2018, a third letter was sent to Planned Parenthood’s Janice Thomas regarding a proposed complication plan submitted by the Springfield Planned Parenthood on January 8, 2018. That plan was rejected for not meeting the requirements of the complication plan rule.

It is easy to see why the plan was rejected.

The plan was for a “Dr. Grebe” to provide abortion drugs in Springfield and provide emergency care in the event of an emergency “whenever possible.” Operation Rescue has learned that “Dr. Grebe” is actually 72-year old Terry Keith Grebe, who lives and works in Joplin, Missouri – which is one hour and 15 minutes driving time from Springfield.

When Dr. Grebe was unavailable, Planned Parenthood’s complication plan was for Dr. David Eisenberg to treat patients at Reproductive Health Services abortion facility in St. Louis, which is three-hours driving time from Springfield. Finally, if neither Grebe nor Eisenberg was available, patients suffering complications from abortion drugs would be sent to Overland Park, Kansas – two-and-a-half hours driving time from Springfield – to be treated by 76-year old Orrin Moore.

So what kind of care can women expect from Eisenberg and Moore?

During a failed inspection at the St. Louis Planned Parenthood abortion facility last year, Eisenberg, who serves as Medical Director, was cited for failing to wash his hands between glove changes. When the inspector mentioned it to him, he questioned whether the handwashing requirement was a new protocol. [Documentation related to Eisenberg can be found on AbortionDocs.org.]

Moore has a long history of botched abortions, including the death of a patient, Dawn Mack, 21, and has been sued repeatedly for medical malpractice. In March 2016, Moore was banned from participating in KS Medicaid & KanCare, and was subject to administrative review. [Documentation on these and other issues can be found at AbortionDocs.org.]

“Additionally, the proposed plan fails to recognize the importance of the physician-patient relationship by providing for continuity of cane and ensuring communication among the physician who induced the abortion and all subsequent health care providers involved in treating the patient’s complication,” the letter stated.

Apparently, all of the deficiencies cited in the failed October inspection report were not yet corrected as of the writing of the letter on March 29, 2018.

The letter concluded, “Because the facility’s proposed plan does not meet the requirements of [the emergency rule], the Department cannot approve the plan. Accordingly, the Department cannot issue the facility a license until an approved plan is in place (and all other deficiencies have been corrected.)”

Meanwhile, Planned Parenthood is challenging the state regulations related to medical abortions in Federal Court. Hearings concluded on Friday, and a series of briefs on the issues were ordered. A decision on the case is not expected for some time.

Read the letters:

DHSS to Thomas, 10/12/2017
DHSS to Thomas, 12/21/2017
DHSS to Thomas, 3/29/2018

Texas Abortions Drop Dramatically as Abortion Facilities Close

By Cheryl Sullenger

Austin, TX – One Austin abortion facility’s building is advertised as up for lease. It is a very good sign of the times.

Now, a new study published yesterday by the Texas Policy Evaluation Project shows that abortion numbers have dramatically declined by 13% since a new Texas abortion law, known as HB2, went into effect last year. That decline represents approximately 9,200 lives spared due to the new law.

The decrease in abortions in Texas is a direct result of abortion facilities shutting down due to HB2.

Out of the 41 abortion clinics in operation last July, already half have shut down as a result of provisions of the law that went into effect last year, especially the provision heavily supported by Operation Rescue that requires abortionists to maintain hospital privileges within 30 miles of their abortion clinics.

Only six facilities are expected to remain open in Texas after the remainder of HB2’s safety regulations go into effect on September 1.

This means that 35 Texas abortion facilities were operating well below acceptable medical standards and are opting to close rather than comply with the law.

“When abortion clinics close, lives are saved as women find other ways to deal with the challenges they face rather than taking the lives of their babies,” said Newman. “We expect to see abortion numbers continue to steeply decline in Texas as more abortion facilities shut down, and that is great news.”

Among the abortion chains most affected has been Whole Women’s Health, which once operated five abortion offices in Texas.

WWH facilities in Austin and Ft. Worth, the subjects of an Operation Rescue undercover investigation in 2011, will be among 15 abortion facilities that are expected to close by the end of the month when regulations that require abortion facilities to meet Ambulatory Surgical Center standards take effect.

The building housing Whole Women’s Health’s Austin facility, which cannot meet those requirements, has been placed for lease because WWH has decided to shut down rather than comply with the law. Only the WWH San Antonio facility will remain open.

“We are excited that abortion businesses will have fewer locations where they can prey on the vulnerabilities of pregnant women and heartlessly take the lives of pre-born babies,” said Troy Newman, President of Operation Rescue. “Women throughout Texas will be better off without substandard abortion businesses placing their lives at risk. Abortion businesses are not above the law and requiring them to meet basic safety regulations – which they often can’t or won’t meet — is already saving thousands of lives.”

Whole Women’s Health shut down their Beaumont and McAllen locations on March 6, 2014, because their abortionists could not obtain hospital privileges that are required by law to protect the lives of women suffering abortion-related medical emergencies.

Operation Rescue filed complaints against Whole Women’s Health clinics in McAllen, Beaumont, and Austin after discovering they were improperly dumping “identifiable” aborted baby remains a during the 2011 undercover investigation. This led the Austin and McAllen locations to be heavily fined.

That investigation alerted legislators to the need to tighten requirements on the previously unaccountable abortion trade in Texas. Another Operation Rescue investigation of Houston abortionist Douglas Karpen last year, which was based on first-hand experiences of four of his former abortion workers, revealed evidence that he was conducting illegal late-term abortions and allegedly had killed some babies after being born alive. This encouraged Gov. Rick Perry to call the special sessions to ensure that the abortion safety regulations passed.

The Texas legislature passed HB2 last year during during the second of two contentious special legislative sessions that drew national attention.

“The new study proves that the new law is effectively protecting the lives of women and their babies, and will extend those protections to even more women as the rest of the law goes into effect later this year. There should be no hesitancy for other states to adopt similar measures to protect the public and reduce the number of abortions in their states,” said Newman. “Success is measured in results, and the fact that HB2 will shut down 85% of shoddy abortion mills and save nearly 10,000 lives per year in Texas shows that legislation is incredibly successful and should be emulated nationwide.”