An independent review released on Friday has discovered that the Texas hospital that carried out the treatment of the first person diagnosed with Ebola in the US was not adequately ready for a patient with the deadly virus. The hospital stumbled due to communication failures.

On September 25, Thomas Eric Duncan, Liberian émigré initially visited Texas Health Presbyterian Dallas with a complaint of headache and nausea. As per the medical records shared with The Associated Press, his fever went up to 103 degrees at the time of his initial four-hour visit. The hospital staff misdiagnosed him with sinusitis and sent him back, ignoring the fact that he had lately arrived from Africa.

A panel, led by a former chief executive of the Mayo Clinic, including four physicians and one nurse, conducted a report which was the first outside review of the hospital’s response. It came in the middle of a lawsuit by Nina Pham, one of two nurses who contracted Ebola while caring for Duncan and lost life in October. The suit has alleged the hospital’s parent company, Texas Health Resources, failed to give training and good protective gear.

As per the report the communications at the hospital were inconsistent. For instance, Duncan’s travel history information collected by a nurse was not verbally communicated to a physician.

The report also found faults in the US Centers for Disease Control and Prevention. As per the report, it failed in preparing the hospital in using personal protective equipment, waste management and ‘other challenges that would appear as critical’.