On April 19, 2010, the NRC issued a Notice of Violation to SSM St. Clare Health Center for a Severity Level III violation involving the failure to implement written procedures to provide high confidence that each administration was in accordance with the written directive as required by Title 10 of the Code of Federal Regulations (CFR), Section 35.41. Specifically, between November 19, 2008, and September 23, 2009, the licensee failed to follow its procedures which required the preparation of final computerized treatment plans for two patients whose prostates had been implanted with radioactive seeds. The seeds were implanted on October 22, 2008, and their computed tomography (CT) studies were performed on November 19, 2008. However, the licensee still had not prepared the final treatment plans for these patients at the time of the inspection.