Cortland Memorial Hospital, Inc.
PFI # 0158
Complaints:
| Complaint Information: | 1998 |
| Complaint Investigations Completed | 8 |
| Complaints with Statements of Deficiencies (SOD) Issued | 3 |
| % of Complaints with SODs Issued | 38% |
| Regional % of Complaints with SODs Issued: | 36.7% |
Areas Cited as a Result of Complaints:
| SOD Date | Regulatory Citation | Areas Cited as a Result of Complaints: | Date Plan of Correction Accepted |
| 3/30/98 | 405.2(b) | Governing Body Organization & Operation | 6/30/98 |
| 405.2(f) | Governing Body Care of Patients | ||
| 405.4(a) | Medical Staff Medical Staff Accountability | ||
| 405.5(a) | Nursing Services Organization and Staffing | ||
| 405.5(b) | Nursing Services Delivery of Services | ||
| 405.6(a) | Quality Assurance QA Committee | ||
| 405.8 | Incident Reporting | ||
| 9/10/98 | 405.6(a) | Quality Assurance QA Committee | 11/5/98 |
| 405.7(b) | Patients Rights Hospital Responsibilities | ||
| 405.10(a) | Medical Records General Requirements | ||
| 11/4/98 | 405.5(b) | Nursing Services Delivery of Services | 12/2/98 |
| 405.6(a) | Quality Assurance QA Committee |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited as a Result of Complaints: | Date Plan of Correction Accepted |
| 3/5/98 | Focused | None | |
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited as a Result of Complaints: | Date Plan of Correction Accepted |
| 2/4/98 | 405.2(b) | Governing Body Organization & Operation | 4/9/98 |
| 405.2(f) | Governing Body Care of Patients | ||
| 405.4(a) | Medical Staff Medical Staff Accountability | ||
| 405.5(a) | Nursing Services Organization and Staffing | ||
| 405.5(b) | Nursing Services Delivery of Services | ||
| 405.6(a) | Quality Assurance QA Committee | ||
| 9/14/98 | 405.2(b) | Governing Body Organization & Operation | 2/10/99 |
| 405.2(f) | Governing Body Care of Patients | ||
| 405.4(a) | Medical Staff Medical Staff Accountability | ||
| 405.4(c) | Medical Staff Medical Staff Bylaws | ||
| 405.5(b) | Nursing Services Delivery of Services | ||
| 405.6(a) | Quality Assurance QA Committee | ||
| 405.8 | Incident Reporting | ||
| 405.10(a) | Medical Records General Requirements | ||
| 405.10(b) | Medical Records Content | ||
| 405.12(a) | Surgical Services Organization & Direction | ||
| 405.13(b) | Anesthesia Services Operation/Service Delivery | ||
| 405.15(a) | Radiology/Nuclear Medicine General Provisions | ||
| 405.19(d) | Emergency Services Staffing |