The Ohio Department of Health said Monday it will revoke Insight Hospital and Medical Center Trumbull’s license in mid-December if it does not address the latest violations uncovered by state inspectors.

In a correspondence dated Nov. 17, the ODH said the Warren facility lacked proper heat and failed to provide appropriate patient care. It gave the Michigan-based health care system 30 days to respond.

The action follows the Centers for Medicare and Medicaid Services’ termination of its agreement with Insight Trumbull and Insight Rehabilitation Hospital Hillside in Howland on Oct. 10. The action means CMS will not pay for inpatient services at either hospital involving Medicare and Medicaid beginning on that date. Hillside closed in late March.

Information on the matter was obtained Monday through records requests made to the agencies.

Insight representatives did not respond to email and phone requests Monday for comment.

However, Insight sent an email to media outlets Nov. 17 stating, “It’s a difficult process to reopen a hospital and getting Trumbull going again has had its challenges yet we are addressing them and will continue to do so. Our sole purpose is to provide health care access and quality care to the community.”

Three days earlier, the health system said, “Our first month reopened as a nonprofit hospital is just the beginning of providing accessible and compassionate patient care second to none. Working together, we’ve shown this hospital has an important purpose in the community and we look forward to continuing to be a lifeline 24/7.”

More than six months had passed since Insight Health System closed its Trumbull County properties in late March. On the morning of Oct. 14, U.S. Sen. Bernie Moreno called ODH Director Dr. Bruce Vanderhoff about the hospital’s status, the ODH said in an email.

“Dr. Vanderhoff informed Sen. Moreno that ODH was about to sign off on reopening the facility,” the ODH continued.

The permission was received at 9:30 a.m.

A conversation with Dr. Mehmet Oz, head of CMS, regarding Insight’s federal licensing also occurred.

“So happy to see this finally happen after seven months of anxiety,” Moreno said at the time on social media. “This was a total team effort and the Mayor, the Trumbull County Commissioners, the Ohio Department of Health, and our great Director of CMS, @DrOz, made it happen!”

Warren Mayor Doug Franklin said at the time, “We received, in approximately 40 minutes, confirmation that (Insight) passed all inspections and were given the certifications to operate from Medicare.”

According to CMS, Insight never was given the needed documentation.

“With CMS no longer certifying the facility, ODH expanded its monitoring to include both life safety codes (deferred maintenance and equipment) as well as patient care and safety concerns,” an ODH representative said Monday.

“Hospital officials have 30 days to request a hearing, during which time the facility may remain open. If a hearing is not requested, ODH will revoke state licensure.”