On July 22, 2011, the NRC issued a Notice of Violation to Liberty Hospital for a Severity Level III violation involving the failure to develop written procedures to provide high confidence that each administration was in accordance with the written directive as required by 10 CFR 35.41(a). Specifically, as of October 6, 2010, the licensee's procedure did not require the position of the prostate to be verified prior to seed placement. As a result, the prostate received 16.9 Gray (Gy) as opposed to the prescribed dose of 125 Gy.